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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $218.78 Typical High $218.78 | Professional | None | $83.18 | $218.78 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $91.20 Typical High $251.19 | Facility | None | $64.57 | $91.20 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $218.78 Typical High $501.19 | Professional | None | $93.33 | $218.78 | $501.19 |
Blue Shield Setting Facility Modifier None Typical Low $37.15 Median $120.23 Typical High $151.36 | Facility | None | $37.15 | $120.23 | $151.36 |
Blue Shield Setting Professional Modifier None Typical Low $50.12 Median $72.44 Typical High $190.55 | Professional | None | $50.12 | $72.44 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $93.33 Typical High $173.78 | Facility | None | $41.69 | $93.33 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $60.26 Typical High $251.19 | Professional | None | $27.54 | $60.26 | $251.19 |
Contra Costa Health Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $69.18 | Professional | None | $51.29 | $56.23 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $58.88 Typical High $138.04 | Professional | None | $46.77 | $58.88 | $138.04 |
Lucent Health Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $389.05 | Professional | None | $257.04 | $389.05 | $389.05 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Providence Setting Facility Modifier None Typical Low $47.86 Median $95.50 Typical High $239.88 | Facility | None | $47.86 | $95.50 | $239.88 |
Providence Setting Professional Modifier None Typical Low $28.18 Median $64.57 Typical High $251.19 | Professional | None | $28.18 | $64.57 | $251.19 |
Sutter Health Plus Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
United Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $51.29 | Facility | None | $21.38 | $21.38 | $51.29 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $229.09 | Professional | None | $21.38 | $30.90 | $229.09 |
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 $109.65 Median $165.96 Typical High $407.38 | Facility | 52 · Reduced service | $109.65 | $165.96 | $407.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $66.07 Typical High $162.18 | Facility | 53 · Discontinued | $43.65 | $66.07 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $41.69 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $16.60 | $43.65 | $43.65 |
Where California sits
The same service costs 6.0 times more in California than in Oklahoma. 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· 1st of 51
$186
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.