How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $107.15 Median $275.42 Typical High $676.08 | Facility | None | $107.15 | $275.42 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $107.15 Typical High $107.15 | Professional | None | $81.28 | $107.15 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $147.91 Typical High $407.38 | Facility | None | $102.33 | $147.91 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $218.78 Typical High $389.05 | Professional | None | $138.04 | $218.78 | $389.05 |
Blue Shield Setting Facility Modifier None Typical Low $60.26 Median $194.98 Typical High $245.47 | Facility | None | $60.26 | $194.98 | $245.47 |
Blue Shield Setting Professional Modifier None Typical Low $38.02 Median $53.70 Typical High $229.09 | Professional | None | $38.02 | $53.70 | $229.09 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $112.20 | Professional | None | $66.07 | $74.13 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $147.91 Typical High $275.42 | Facility | None | $63.10 | $147.91 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $89.13 Typical High $407.38 | Professional | None | $44.67 | $89.13 | $407.38 |
Contra Costa Health Setting Professional Modifier None Typical Low $66.07 Median $91.20 Typical High $112.20 | Professional | None | $66.07 | $91.20 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $223.87 | Professional | None | $74.13 | $95.50 | $223.87 |
Lucent Health Setting Professional Modifier None Typical Low $416.87 Median $616.60 Typical High $616.60 | Professional | None | $416.87 | $616.60 | $616.60 |
Providence Setting Facility Modifier None Typical Low $70.79 Median $144.54 Typical High $269.15 | Facility | None | $70.79 | $144.54 | $269.15 |
Providence Setting Professional Modifier None Typical Low $44.67 Median $91.20 Typical High $407.38 | Professional | None | $44.67 | $91.20 | $407.38 |
Sutter Health Plus Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
United Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $83.18 | Facility | None | $34.67 | $34.67 | $83.18 |
United Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $331.13 | Professional | None | $34.67 | $50.12 | $331.13 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $53.70 Median $138.04 Typical High $338.84 | Facility | 52 · Reduced service | $53.70 | $138.04 | $338.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $54.95 Typical High $134.90 | Facility | 53 · Discontinued | $21.38 | $54.95 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $50.12 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $19.95 | $21.38 | $21.38 |
Where California sits
The same service costs 3.4 times more in Alaska than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
California· 3rd of 51
$166
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.