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 $0.02 Median $0.05 Typical High $1,348.96 | Professional | None | $0.02 | $0.05 | $1,348.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $7,943.28 Typical High $13,803.84 | Facility | None | $870.96 | $7,943.28 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $2,818.38 Typical High $9,772.37 | Professional | None | $851.14 | $2,818.38 | $9,772.37 |
Blue Shield Setting Facility Modifier None Typical Low $1,949.84 Median $6,309.57 Typical High $7,943.28 | Facility | None | $1,949.84 | $6,309.57 | $7,943.28 |
Blue Shield Setting Professional Modifier None Typical Low $1,230.27 Median $1,778.28 Typical High $4,677.35 | Professional | None | $1,230.27 | $1,778.28 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $4,897.79 Typical High $8,709.64 | Facility | None | $1,905.46 | $4,897.79 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $3,162.28 Typical High $14,454.40 | Professional | None | $1,445.44 | $3,162.28 | $14,454.40 |
Contra Costa Health Setting Professional Modifier None Typical Low $2,691.53 Median $2,951.21 Typical High $3,630.78 | Professional | None | $2,691.53 | $2,951.21 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,454.71 Median $2,951.21 Typical High $7,244.36 | Professional | None | $2,454.71 | $2,951.21 | $7,244.36 |
Lucent Health Setting Professional Modifier None Typical Low $13,489.63 Median $20,417.38 Typical High $20,417.38 | Professional | None | $13,489.63 | $20,417.38 | $20,417.38 |
Providence Setting Facility Modifier None Typical Low $2,137.96 Median $3,890.45 Typical High $8,317.64 | Facility | None | $2,137.96 | $3,890.45 | $8,317.64 |
Providence Setting Professional Modifier None Typical Low $1,479.11 Median $3,235.94 Typical High $13,489.63 | Professional | None | $1,479.11 | $3,235.94 | $13,489.63 |
Sutter Health Plus Setting Professional Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $9,549.93 | Professional | None | $9,549.93 | $9,549.93 | $9,549.93 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $2,691.53 | Facility | None | $1,148.15 | $1,148.15 | $2,691.53 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $12,022.64 | Professional | None | $1,148.15 | $1,621.81 | $12,022.64 |
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 17.4 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· 12th of 51
$3,162
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.