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 $63.10 Median $165.96 Typical High $398.11 | Facility | None | $63.10 | $165.96 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $64.57 Typical High $75.86 | Professional | None | $57.54 | $64.57 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $147.91 Typical High $407.38 | Facility | None | $100.00 | $147.91 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $120.23 | Professional | None | $33.88 | $46.77 | $120.23 |
Blue Shield Setting Facility Modifier None Typical Low $102.33 Median $501.19 Typical High $870.96 | Facility | None | $102.33 | $501.19 | $870.96 |
Blue Shield Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $109.65 | Professional | None | $34.67 | $48.98 | $109.65 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $11.48 Median $66.07 Typical High $74.13 | Professional | None | $11.48 | $66.07 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $144.54 Typical High $275.42 | Facility | None | $60.26 | $144.54 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $81.28 Typical High $223.87 | Professional | None | $45.71 | $81.28 | $223.87 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.23 Median $89.13 Typical High $89.13 | Professional | None | $10.23 | $89.13 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $89.13 Typical High $229.09 | Professional | None | $69.18 | $89.13 | $229.09 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $81.28 | Professional | None | $40.74 | $40.74 | $81.28 |
Providence Setting Facility Modifier None Typical Low $53.70 Median $95.50 Typical High $239.88 | Facility | None | $53.70 | $95.50 | $239.88 |
Providence Setting Professional Modifier None Typical Low $45.71 Median $75.86 Typical High $181.97 | Professional | None | $45.71 | $75.86 | $181.97 |
Sutter Health Plus Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
United Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $81.28 | Facility | None | $34.67 | $34.67 | $81.28 |
United Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $190.55 | Professional | None | $34.67 | $48.98 | $190.55 |
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 $31.62 Median $83.18 Typical High $199.53 | Facility | 52 · Reduced service | $31.62 | $83.18 | $199.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.59 Median $33.11 Typical High $79.43 | Facility | 53 · Discontinued | $12.59 | $33.11 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $32.36 Typical High $35.48 | Professional | 52 · Reduced service | $28.84 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.88 Typical High $14.13 | Professional | 53 · Discontinued | $11.48 | $12.88 | $14.13 |
Where California sits
The same service costs 4.9 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· 42nd of 51
$64.57
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.