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 $67.61 Median $77.62 Typical High $91.20 | Professional | None | $67.61 | $77.62 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $190.55 Typical High $524.81 | Facility | None | $131.83 | $190.55 | $524.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $51.29 Typical High $147.91 | Professional | None | $42.66 | $51.29 | $147.91 |
Blue Shield Setting Facility Modifier None Typical Low $120.23 Median $512.86 Typical High $977.24 | Facility | None | $120.23 | $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 $85.11 Median $85.11 Typical High $107.15 | Professional | None | $85.11 | $85.11 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $162.18 Typical High $338.84 | Facility | None | $70.79 | $162.18 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $70.79 Typical High $213.80 | Professional | None | $47.86 | $70.79 | $213.80 |
Contra Costa Health Setting Professional Modifier None Typical Low $57.54 Median $117.49 Typical High $117.49 | Professional | None | $57.54 | $117.49 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $281.84 | Professional | None | $85.11 | $109.65 | $281.84 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $128.82 | Professional | None | $63.10 | $63.10 | $128.82 |
Providence Setting Facility Modifier None Typical Low $74.13 Median $128.82 Typical High $295.12 | Facility | None | $74.13 | $128.82 | $295.12 |
Providence Setting Professional Modifier None Typical Low $47.86 Median $83.18 Typical High $213.80 | Professional | None | $47.86 | $83.18 | $213.80 |
Sutter Health Plus Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
United Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $107.15 | Facility | None | $44.67 | $44.67 | $107.15 |
United Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $245.47 | Professional | None | $38.02 | $54.95 | $245.47 |
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 $33.88 Median $38.90 Typical High $45.71 | Professional | 52 · Reduced service | $33.88 | $38.90 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.49 Typical High $18.20 | Professional | 53 · Discontinued | $13.49 | $15.49 | $18.20 |
Where California sits
The same service costs 6.2 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· 41st of 51
$77.62
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.