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 $151.36 Median $169.82 Typical High $173.78 | Facility | None | $151.36 | $169.82 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $173.78 | Professional | None | $141.25 | $173.78 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $309.03 Typical High $851.14 | Facility | None | $213.80 | $309.03 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $467.74 Typical High $851.14 | Professional | None | $302.00 | $467.74 | $851.14 |
Blue Shield Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $512.86 | Facility | None | $125.89 | $407.38 | $512.86 |
Blue Shield Setting Professional Modifier None Typical Low $93.33 Median $131.83 Typical High $245.47 | Professional | None | $93.33 | $131.83 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $309.03 Typical High $575.44 | Facility | None | $141.25 | $309.03 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $186.21 Typical High $851.14 | Professional | None | $93.33 | $186.21 | $851.14 |
Contra Costa Health Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $234.42 | Professional | None | $173.78 | $190.55 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $457.09 | Professional | None | $154.88 | $199.53 | $457.09 |
Lucent Health Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,288.25 | Professional | None | $870.96 | $870.96 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Providence Setting Facility Modifier None Typical Low $154.88 Median $245.47 Typical High $537.03 | Facility | None | $154.88 | $245.47 | $537.03 |
Providence Setting Professional Modifier None Typical Low $102.33 Median $190.55 Typical High $851.14 | Professional | None | $102.33 | $190.55 | $851.14 |
Sutter Health Plus Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $173.78 | Facility | None | $72.44 | $72.44 | $173.78 |
United Setting Professional Modifier None Typical Low $72.44 Median $104.71 Typical High $676.08 | Professional | None | $72.44 | $104.71 | $676.08 |
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 $75.86 Median $131.83 Typical High $316.23 | Facility | 52 · Reduced service | $75.86 | $131.83 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.90 Median $52.48 Typical High $125.89 | Facility | 53 · Discontinued | $30.90 | $52.48 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $74.13 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $29.51 | $34.67 | $34.67 |
Where California sits
The same service costs 3.4 times more in Alaska than in Delaware. 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· 2nd of 51
$339
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.