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 $114.82 Median $281.84 Typical High $758.58 | Facility | None | $114.82 | $281.84 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $123.03 Typical High $141.25 | Professional | None | $112.20 | $123.03 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $524.81 Typical High $537.03 | Facility | None | $229.09 | $524.81 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $10.72 Typical High $79.43 | Professional | None | $7.41 | $10.72 | $79.43 |
Blue Shield Setting Facility Modifier None Typical Low $7.41 Median $19.05 Typical High $34.67 | Facility | None | $7.41 | $19.05 | $34.67 |
Blue Shield Setting Professional Modifier None Typical Low $1.74 Median $2.51 Typical High $3.80 | Professional | None | $1.74 | $2.51 | $3.80 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $102.33 | Professional | None | $63.10 | $63.10 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $138.04 Typical High $288.40 | Facility | None | $72.44 | $138.04 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $104.71 Typical High $131.83 | Professional | None | $81.28 | $104.71 | $131.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $79.43 Median $87.10 Typical High $87.10 | Professional | None | $79.43 | $87.10 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $223.87 | Professional | None | $67.61 | $87.10 | $223.87 |
Providence Setting Facility Modifier None Typical Low $72.44 Median $104.71 Typical High $204.17 | Facility | None | $72.44 | $104.71 | $204.17 |
Providence Setting Professional Modifier None Typical Low $72.44 Median $79.43 Typical High $158.49 | Professional | None | $72.44 | $79.43 | $158.49 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $79.43 | Facility | None | $33.11 | $33.11 | $79.43 |
United Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $288.40 | Professional | None | $43.65 | $47.86 | $288.40 |
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 $61.66 Median $158.49 Typical High $389.05 | Facility | 52 · Reduced service | $61.66 | $158.49 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $63.10 Typical High $154.88 | Facility | 53 · Discontinued | $24.55 | $63.10 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $61.66 Typical High $69.18 | Professional | 52 · Reduced service | $56.23 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $24.55 Typical High $28.18 | Professional | 53 · Discontinued | $22.39 | $24.55 | $28.18 |
Where California sits
The same service costs 24.0 times more in Alaska than in Kentucky. 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· 47th of 51
$22.91
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.