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 $173.78 Median $446.68 Typical High $1,071.52 | Facility | None | $173.78 | $446.68 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $177.83 Typical High $177.83 | Professional | None | $154.88 | $177.83 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $371.54 Typical High $1,023.29 | Facility | None | $257.04 | $371.54 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $194.98 Typical High $870.96 | Professional | None | $93.33 | $194.98 | $870.96 |
Blue Shield Setting Facility Modifier None Typical Low $269.15 Median $1,202.26 Typical High $2,238.72 | Facility | None | $269.15 | $1,202.26 | $2,238.72 |
Blue Shield Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $354.81 | Professional | None | $93.33 | $134.90 | $354.81 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $165.96 Median $186.21 Typical High $281.84 | Professional | None | $165.96 | $186.21 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $371.54 Typical High $691.83 | Facility | None | $144.54 | $371.54 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $229.09 Typical High $1,023.29 | Professional | None | $109.65 | $229.09 | $1,023.29 |
Contra Costa Health Setting Professional Modifier None Typical Low $165.96 Median $229.09 Typical High $281.84 | Professional | None | $165.96 | $229.09 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $549.54 | Professional | None | $186.21 | $239.88 | $549.54 |
Lucent Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,023.29 | $1,548.82 | $1,548.82 |
Providence Setting Facility Modifier None Typical Low $158.49 Median $275.42 Typical High $630.96 | Facility | None | $158.49 | $275.42 | $630.96 |
Providence Setting Professional Modifier None Typical Low $114.82 Median $245.47 Typical High $1,023.29 | Professional | None | $114.82 | $245.47 | $1,023.29 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $208.93 | Facility | None | $87.10 | $87.10 | $208.93 |
United Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $912.01 | Professional | None | $87.10 | $123.03 | $912.01 |
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 $85.11 Median $223.87 Typical High $537.03 | Facility | 52 · Reduced service | $85.11 | $223.87 | $537.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $89.13 Typical High $213.80 | Facility | 53 · Discontinued | $34.67 | $89.13 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $77.62 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $30.90 | $35.48 | $35.48 |
Where California sits
The same service costs 5.0 times more in Texas 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· 9th of 51
$257
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.