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 $69.18 Median $173.78 Typical High $416.87 | Facility | None | $69.18 | $173.78 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $69.18 Typical High $83.18 | Professional | None | $60.26 | $69.18 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $741.31 Typical High $758.58 | Facility | None | $42.66 | $741.31 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $125.89 | Professional | None | $41.69 | $41.69 | $125.89 |
Blue Shield Setting Facility Modifier None Typical Low $93.33 Median $501.19 Typical High $891.25 | Facility | None | $93.33 | $501.19 | $891.25 |
Blue Shield Setting Professional Modifier None Typical Low $58.88 Median $85.11 Typical High $125.89 | Professional | None | $58.88 | $85.11 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $67.61 Typical High $338.84 | Facility | None | $6.46 | $67.61 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $61.66 Typical High $190.55 | Professional | None | $35.48 | $61.66 | $190.55 |
Contra Costa Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $457.09 Typical High $891.25 | Professional | None | $181.97 | $457.09 | $891.25 |
Molina Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $47.86 | Professional | None | $23.99 | $23.99 | $47.86 |
Providence Setting Facility Modifier None Typical Low $6.46 Median $81.28 Typical High $257.04 | Facility | None | $6.46 | $81.28 | $257.04 |
Providence Setting Professional Modifier None Typical Low $35.48 Median $54.95 Typical High $190.55 | Professional | None | $35.48 | $54.95 | $190.55 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $426.58 | Facility | None | $281.84 | $281.84 | $426.58 |
United Setting Professional Modifier None Typical Low $27.54 Median $46.77 Typical High $316.23 | Professional | None | $27.54 | $46.77 | $316.23 |
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 $34.67 Median $87.10 Typical High $208.93 | Facility | 52 · Reduced service | $34.67 | $87.10 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $35.48 Typical High $83.18 | Facility | 53 · Discontinued | $13.80 | $35.48 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $34.67 Typical High $41.69 | Professional | 52 · Reduced service | $29.51 | $34.67 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.80 Typical High $16.60 | Professional | 53 · Discontinued | $12.02 | $13.80 | $16.60 |
Where California sits
The same service costs 10.2 times more in Alaska than in Hawaii. 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· 24th 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.