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 $75.86 Median $194.98 Typical High $467.74 | Facility | None | $75.86 | $194.98 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $77.62 | Professional | None | $66.07 | $77.62 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $158.49 Typical High $436.52 | Facility | None | $107.15 | $158.49 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $144.54 | Professional | None | $35.48 | $51.29 | $144.54 |
Blue Shield Setting Facility Modifier None Typical Low $117.49 Median $512.86 Typical High $977.24 | Facility | None | $117.49 | $512.86 | $977.24 |
Blue Shield Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $104.71 | Professional | None | $39.81 | $57.54 | $104.71 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $114.82 | Professional | None | $70.79 | $70.79 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $131.83 Typical High $281.84 | Facility | None | $58.88 | $131.83 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $69.18 Typical High $213.80 | Professional | None | $46.77 | $69.18 | $213.80 |
Contra Costa Health Setting Professional Modifier None Typical Low $61.66 Median $97.72 Typical High $97.72 | Professional | None | $61.66 | $97.72 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $91.20 Typical High $234.42 | Professional | None | $70.79 | $91.20 | $234.42 |
Molina Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $87.10 | Professional | None | $43.65 | $43.65 | $87.10 |
Providence Setting Facility Modifier None Typical Low $57.54 Median $102.33 Typical High $229.09 | Facility | None | $57.54 | $102.33 | $229.09 |
Providence Setting Professional Modifier None Typical Low $46.77 Median $79.43 Typical High $173.78 | Professional | None | $46.77 | $79.43 | $173.78 |
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 $87.10 | Facility | None | $37.15 | $37.15 | $87.10 |
United Setting Professional Modifier None Typical Low $37.15 Median $47.86 Typical High $204.17 | Professional | None | $37.15 | $47.86 | $204.17 |
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 $38.02 Median $97.72 Typical High $234.42 | Facility | 52 · Reduced service | $38.02 | $97.72 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $38.90 Typical High $93.33 | Facility | 53 · Discontinued | $15.14 | $38.90 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $33.11 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $13.49 | $15.49 | $15.49 |
Where California sits
The same service costs 4.2 times more in Alaska 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· 29th of 51
$72.44
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.