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 $0.04 Typical High $0.07 | Professional | None | $0.02 | $0.04 | $0.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $2,630.27 Typical High $4,677.35 | Facility | None | $870.96 | $2,630.27 | $4,677.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,949.84 Typical High $5,888.44 | Professional | None | $851.14 | $1,949.84 | $5,888.44 |
Blue Shield Setting Facility Modifier None Typical Low $660.69 Median $2,137.96 Typical High $2,691.53 | Facility | None | $660.69 | $2,137.96 | $2,691.53 |
Blue Shield Setting Professional Modifier None Typical Low $416.87 Median $588.84 Typical High $1,584.89 | Professional | None | $416.87 | $588.84 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,659.59 Typical High $3,090.30 | Facility | None | $645.65 | $1,659.59 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $1,071.52 Typical High $4,897.79 | Professional | None | $489.78 | $1,071.52 | $4,897.79 |
Contra Costa Health Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,230.27 | Professional | None | $912.01 | $1,000.00 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,000.00 Typical High $2,454.71 | Professional | None | $831.76 | $1,000.00 | $2,454.71 |
Lucent Health Setting Professional Modifier None Typical Low $4,570.88 Median $6,918.31 Typical High $6,918.31 | Professional | None | $4,570.88 | $6,918.31 | $6,918.31 |
Providence Setting Facility Modifier None Typical Low $724.44 Median $1,318.26 Typical High $2,884.03 | Facility | None | $724.44 | $1,318.26 | $2,884.03 |
Providence Setting Professional Modifier None Typical Low $501.19 Median $1,096.48 Typical High $4,466.84 | Professional | None | $501.19 | $1,096.48 | $4,466.84 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
United Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $912.01 | Facility | None | $380.19 | $380.19 | $912.01 |
United Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $4,073.80 | Professional | None | $380.19 | $549.54 | $4,073.80 |
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 12.0 times more in Texas than in New Mexico. 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· 4th of 51
$1,445
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.