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 $0.02 Median $0.05 Typical High $0.07 | Facility | None | $0.02 | $0.05 | $0.07 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,548.13 | Professional | None | $1,995.26 | $1,995.26 | $3,548.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $14,454.40 Typical High $25,703.96 | Facility | None | $870.96 | $14,454.40 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $2,818.38 Typical High $18,197.01 | Professional | None | $851.14 | $2,818.38 | $18,197.01 |
Blue Shield Setting Facility Modifier None Typical Low $3,630.78 Median $11,748.98 Typical High $14,791.08 | Facility | None | $3,630.78 | $11,748.98 | $14,791.08 |
Blue Shield Setting Professional Modifier None Typical Low $2,290.87 Median $3,235.94 Typical High $8,709.64 | Professional | None | $2,290.87 | $3,235.94 | $8,709.64 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $8,709.64 Typical High $15,848.93 | Facility | None | $3,548.13 | $8,709.64 | $15,848.93 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $5,888.44 Typical High $26,915.35 | Professional | None | $2,691.53 | $5,888.44 | $26,915.35 |
Contra Costa Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,495.41 Typical High $6,760.83 | Professional | None | $5,011.87 | $5,495.41 | $6,760.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,570.88 Median $5,495.41 Typical High $13,489.63 | Professional | None | $4,570.88 | $5,495.41 | $13,489.63 |
Lucent Health Setting Professional Modifier None Typical Low $25,118.86 Median $38,018.94 Typical High $38,018.94 | Professional | None | $25,118.86 | $38,018.94 | $38,018.94 |
Providence Setting Facility Modifier None Typical Low $3,981.07 Median $7,079.46 Typical High $15,488.17 | Facility | None | $3,981.07 | $7,079.46 | $15,488.17 |
Providence Setting Professional Modifier None Typical Low $2,754.23 Median $6,025.60 Typical High $24,547.09 | Professional | None | $2,754.23 | $6,025.60 | $24,547.09 |
Sutter Health Plus Setting Professional Modifier None Typical Low $17,782.79 Median $17,782.79 Typical High $17,782.79 | Professional | None | $17,782.79 | $17,782.79 | $17,782.79 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $5,011.87 | Facility | None | $2,089.30 | $2,089.30 | $5,011.87 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $3,019.95 Typical High $22,387.21 | Professional | None | $2,089.30 | $3,019.95 | $22,387.21 |
1 more rate 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 $0.02 Median $0.03 Typical High $0.04 | Facility | 52 · Reduced service | $0.02 | $0.03 | $0.04 |
Where California sits
The same service costs 30.9 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· 19th of 51
$5,129
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.