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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $77.62 Typical High $77.62 | Professional | None | $54.95 | $77.62 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $117.49 Typical High $323.59 | Facility | None | $81.28 | $117.49 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $102.33 Typical High $251.19 | Professional | None | $64.57 | $102.33 | $251.19 |
Blue Shield Setting Facility Modifier None Typical Low $46.77 Median $151.36 Typical High $190.55 | Facility | None | $46.77 | $151.36 | $190.55 |
Blue Shield Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $186.21 | Professional | None | $26.92 | $38.90 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $117.49 Typical High $218.78 | Facility | None | $44.67 | $117.49 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $69.18 Typical High $323.59 | Professional | None | $32.36 | $69.18 | $323.59 |
Contra Costa Health Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $89.13 | Professional | None | $66.07 | $72.44 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $173.78 | Professional | None | $58.88 | $75.86 | $173.78 |
Lucent Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $489.78 | Professional | None | $323.59 | $323.59 | $489.78 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Providence Setting Facility Modifier None Typical Low $51.29 Median $109.65 Typical High $208.93 | Facility | None | $51.29 | $109.65 | $208.93 |
Providence Setting Professional Modifier None Typical Low $32.36 Median $72.44 Typical High $323.59 | Professional | None | $32.36 | $72.44 | $323.59 |
Sutter Health Plus Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
United Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $66.07 | Facility | None | $27.54 | $27.54 | $66.07 |
United Setting Professional Modifier None Typical Low $25.12 Median $38.90 Typical High $257.04 | Professional | None | $25.12 | $38.90 | $257.04 |
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 $38.90 Median $58.88 Typical High $144.54 | Facility | 52 · Reduced service | $38.90 | $58.88 | $144.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $23.44 Typical High $57.54 | Facility | 53 · Discontinued | $15.49 | $23.44 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $28.18 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $11.22 | $15.49 | $15.49 |
Where California sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 5th of 51
$95.50
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.