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 $257.04 Median $660.69 Typical High $1,584.89 | Facility | None | $257.04 | $660.69 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $263.03 Typical High $263.03 | Professional | None | $229.09 | $263.03 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $549.54 Typical High $1,513.56 | Facility | None | $380.19 | $549.54 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $288.40 Typical High $1,288.25 | Professional | None | $138.04 | $288.40 | $1,288.25 |
Blue Shield Setting Facility Modifier None Typical Low $407.38 Median $1,778.28 Typical High $3,311.31 | Facility | None | $407.38 | $1,778.28 | $3,311.31 |
Blue Shield Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $524.81 | Professional | None | $141.25 | $199.53 | $524.81 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $245.47 Median $275.42 Typical High $416.87 | Professional | None | $245.47 | $275.42 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $549.54 Typical High $1,023.29 | Facility | None | $213.80 | $549.54 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $338.84 Typical High $1,513.56 | Professional | None | $165.96 | $338.84 | $1,513.56 |
Contra Costa Health Setting Professional Modifier None Typical Low $245.47 Median $338.84 Typical High $416.87 | Professional | None | $245.47 | $338.84 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $354.81 Typical High $831.76 | Professional | None | $275.42 | $354.81 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,548.82 | $2,290.87 | $2,290.87 |
Providence Setting Facility Modifier None Typical Low $234.42 Median $416.87 Typical High $933.25 | Facility | None | $234.42 | $416.87 | $933.25 |
Providence Setting Professional Modifier None Typical Low $169.82 Median $354.81 Typical High $1,513.56 | Professional | None | $169.82 | $354.81 | $1,513.56 |
United Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $309.03 | Facility | None | $128.82 | $128.82 | $309.03 |
United Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $1,348.96 | Professional | None | $128.82 | $186.21 | $1,348.96 |
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 $128.82 Median $331.13 Typical High $794.33 | Facility | 52 · Reduced service | $128.82 | $331.13 | $794.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $51.29 Median $131.83 Typical High $316.23 | Facility | 53 · Discontinued | $51.29 | $131.83 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $114.82 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $45.71 | $52.48 | $52.48 |
Where California sits
The same service costs 4.6 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· 8th of 51
$380
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.