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 $162.18 Median $416.87 Typical High $1,000.00 | Facility | None | $162.18 | $416.87 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $165.96 Typical High $165.96 | Professional | None | $144.54 | $165.96 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $346.74 Typical High $954.99 | Facility | None | $239.88 | $346.74 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $181.97 Typical High $812.83 | Professional | None | $87.10 | $181.97 | $812.83 |
Blue Shield Setting Facility Modifier None Typical Low $251.19 Median $1,122.02 Typical High $2,089.30 | Facility | None | $251.19 | $1,122.02 | $2,089.30 |
Blue Shield Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $331.13 | Professional | None | $87.10 | $125.89 | $331.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $154.88 Median $173.78 Typical High $263.03 | Professional | None | $154.88 | $173.78 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $346.74 Typical High $645.65 | Facility | None | $131.83 | $346.74 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $213.80 Typical High $954.99 | Professional | None | $102.33 | $213.80 | $954.99 |
Contra Costa Health Setting Professional Modifier None Typical Low $154.88 Median $213.80 Typical High $263.03 | Professional | None | $154.88 | $213.80 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $223.87 Typical High $512.86 | Professional | None | $173.78 | $223.87 | $512.86 |
Lucent Health Setting Professional Modifier None Typical Low $954.99 Median $1,445.44 Typical High $1,445.44 | Professional | None | $954.99 | $1,445.44 | $1,445.44 |
Providence Setting Facility Modifier None Typical Low $147.91 Median $257.04 Typical High $588.84 | Facility | None | $147.91 | $257.04 | $588.84 |
Providence Setting Professional Modifier None Typical Low $104.71 Median $229.09 Typical High $954.99 | Professional | None | $104.71 | $229.09 | $954.99 |
United Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $194.98 | Facility | None | $81.28 | $81.28 | $194.98 |
United Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $851.14 | Professional | None | $81.28 | $114.82 | $851.14 |
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 $79.43 Median $208.93 Typical High $501.19 | Facility | 52 · Reduced service | $79.43 | $208.93 | $501.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $32.36 Median $83.18 Typical High $199.53 | Facility | 53 · Discontinued | $32.36 | $83.18 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $72.44 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $28.84 | $33.11 | $33.11 |
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· 7th of 51
$240
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.