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 $31.62 Median $50.12 Typical High $50.12 | Facility | None | $31.62 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $158.49 Typical High $436.52 | Facility | None | $109.65 | $158.49 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $128.82 Typical High $338.84 | Professional | None | $77.62 | $128.82 | $338.84 |
Blue Shield Setting Facility Modifier None Typical Low $63.10 Median $204.17 Typical High $263.03 | Facility | None | $63.10 | $204.17 | $263.03 |
Blue Shield Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $169.82 | Professional | None | $44.67 | $64.57 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $158.49 Typical High $295.12 | Facility | None | $57.54 | $158.49 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $104.71 Typical High $436.52 | Professional | None | $46.77 | $104.71 | $436.52 |
Contra Costa Health Setting Professional Modifier None Typical Low $89.13 Median $97.72 Typical High $120.23 | Professional | None | $89.13 | $97.72 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $234.42 | Professional | None | $79.43 | $97.72 | $234.42 |
Lucent Health Setting Professional Modifier None Typical Low $436.52 Median $660.69 Typical High $660.69 | Professional | None | $436.52 | $660.69 | $660.69 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Providence Setting Facility Modifier None Typical Low $54.95 Median $123.03 Typical High $275.42 | Facility | None | $54.95 | $123.03 | $275.42 |
Providence Setting Professional Modifier None Typical Low $47.86 Median $104.71 Typical High $436.52 | Professional | None | $47.86 | $104.71 | $436.52 |
Sutter Health Plus Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
United Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $89.13 | Facility | None | $37.15 | $37.15 | $89.13 |
United Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $389.05 | Professional | None | $37.15 | $52.48 | $389.05 |
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 $25.12 Median $38.02 Typical High $93.33 | Facility | 52 · Reduced service | $25.12 | $38.02 | $93.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.00 Median $15.14 Typical High $37.15 | Facility | 53 · Discontinued | $10.00 | $15.14 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.12 Typical High $29.51 | Professional | 52 · Reduced service | $25.12 | $25.12 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $11.75 | Professional | 53 · Discontinued | $10.00 | $10.00 | $11.75 |
Where California sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$123
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.