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 $144.54 Median $380.19 Typical High $912.01 | Facility | None | $144.54 | $380.19 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $147.91 | Professional | None | $131.83 | $147.91 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $316.23 Typical High $870.96 | Facility | None | $213.80 | $316.23 | $870.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $162.18 Typical High $741.31 | Professional | None | $79.43 | $162.18 | $741.31 |
Blue Shield Setting Facility Modifier None Typical Low $229.09 Median $1,000.00 Typical High $1,905.46 | Facility | None | $229.09 | $1,000.00 | $1,905.46 |
Blue Shield Setting Professional Modifier None Typical Low $79.43 Median $114.82 Typical High $302.00 | Professional | None | $79.43 | $114.82 | $302.00 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $239.88 | Professional | None | $141.25 | $158.49 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $316.23 Typical High $588.84 | Facility | None | $120.23 | $316.23 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $194.98 Typical High $870.96 | Professional | None | $93.33 | $194.98 | $870.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $234.42 | Professional | None | $141.25 | $194.98 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $467.74 | Professional | None | $158.49 | $199.53 | $467.74 |
Lucent Health Setting Professional Modifier None Typical Low $870.96 Median $1,318.26 Typical High $1,318.26 | Professional | None | $870.96 | $1,318.26 | $1,318.26 |
Providence Setting Facility Modifier None Typical Low $134.90 Median $234.42 Typical High $537.03 | Facility | None | $134.90 | $234.42 | $537.03 |
Providence Setting Professional Modifier None Typical Low $95.50 Median $204.17 Typical High $870.96 | Professional | None | $95.50 | $204.17 | $870.96 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $173.78 | Facility | None | $74.13 | $74.13 | $173.78 |
United Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $776.25 | Professional | None | $74.13 | $104.71 | $776.25 |
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 $72.44 Median $190.55 Typical High $457.09 | Facility | 52 · Reduced service | $72.44 | $190.55 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $75.86 Typical High $181.97 | Facility | 53 · Discontinued | $28.84 | $75.86 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $66.07 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $26.30 | $29.51 | $29.51 |
Where California sits
The same service costs 8.3 times more in Texas 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· 8th of 51
$219
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.