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 $57.54 Median $147.91 Typical High $354.81 | Facility | None | $57.54 | $147.91 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $57.54 Typical High $58.88 | Professional | None | $37.15 | $57.54 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $87.10 Typical High $239.88 | Facility | None | $60.26 | $87.10 | $239.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $34.67 Typical High $107.15 | Professional | None | $23.99 | $34.67 | $107.15 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $389.05 Typical High $741.31 | Facility | None | $95.50 | $389.05 | $741.31 |
Blue Shield Setting Professional Modifier None Typical Low $30.20 Median $43.65 Typical High $77.62 | Professional | None | $30.20 | $43.65 | $77.62 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $63.10 | Professional | None | $38.90 | $38.90 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $74.13 Typical High $169.82 | Facility | None | $33.88 | $74.13 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $52.48 Typical High $162.18 | Professional | None | $32.36 | $52.48 | $162.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $53.70 | Professional | None | $43.65 | $53.70 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $138.04 | Professional | None | $41.69 | $53.70 | $138.04 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $58.88 | Professional | None | $29.51 | $29.51 | $58.88 |
Providence Setting Facility Modifier None Typical Low $40.74 Median $61.66 Typical High $151.36 | Facility | None | $40.74 | $61.66 | $151.36 |
Providence Setting Professional Modifier None Typical Low $32.36 Median $48.98 Typical High $123.03 | Professional | None | $32.36 | $48.98 | $123.03 |
Sutter Health Plus Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
United Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier None Typical Low $20.42 Median $29.51 Typical High $131.83 | Professional | None | $20.42 | $29.51 | $131.83 |
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 $28.84 Median $74.13 Typical High $177.83 | Facility | 52 · Reduced service | $28.84 | $74.13 | $177.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $29.51 Typical High $70.79 | Facility | 53 · Discontinued | $11.48 | $29.51 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $20.89 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $8.32 | $11.75 | $11.75 |
Where California sits
The same service costs 3.5 times more in Kansas than in Rhode Island. 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· 22nd of 51
$54.95
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.