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 $120.23 Median $120.23 Typical High $147.91 | Facility | None | $120.23 | $120.23 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $213.80 Typical High $588.84 | Facility | None | $147.91 | $213.80 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $16.60 Typical High $467.74 | Professional | None | $8.91 | $16.60 | $467.74 |
Blue Shield Setting Facility Modifier None Typical Low $87.10 Median $281.84 Typical High $354.81 | Facility | None | $87.10 | $281.84 | $354.81 |
Blue Shield Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $239.88 | Professional | None | $63.10 | $91.20 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $213.80 Typical High $398.11 | Facility | None | $77.62 | $213.80 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $141.25 Typical High $588.84 | Professional | None | $64.57 | $141.25 | $588.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $162.18 | Professional | None | $120.23 | $131.83 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $138.04 Typical High $323.59 | Professional | None | $107.15 | $138.04 | $323.59 |
Lucent Health Setting Professional Modifier None Typical Low $602.56 Median $891.25 Typical High $891.25 | Professional | None | $602.56 | $891.25 | $891.25 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Providence Setting Facility Modifier None Typical Low $77.62 Median $169.82 Typical High $380.19 | Facility | None | $77.62 | $169.82 | $380.19 |
Providence Setting Professional Modifier None Typical Low $66.07 Median $144.54 Typical High $588.84 | Professional | None | $66.07 | $144.54 | $588.84 |
Sutter Health Plus Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
United Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $120.23 | Facility | None | $50.12 | $50.12 | $120.23 |
United Setting Professional Modifier None Typical Low $50.12 Median $72.44 Typical High $524.81 | Professional | None | $50.12 | $72.44 | $524.81 |
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 $60.26 Median $91.20 Typical High $223.87 | Facility | 52 · Reduced service | $60.26 | $91.20 | $223.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $36.31 Typical High $89.13 | Facility | 53 · Discontinued | $23.99 | $36.31 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $23.99 | $23.99 | $23.99 |
Where California sits
The same service costs 5.9 times more in Texas than in Alabama. 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· 10th of 51
$138
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.