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 $70.79 | Professional | None | $60.26 | $69.18 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $165.96 Typical High $173.78 | Facility | None | $42.66 | $165.96 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $85.11 | Professional | None | $41.69 | $41.69 | $85.11 |
Blue Shield Setting Facility Modifier None Typical Low $79.43 Median $741.31 Typical High $1,348.96 | Facility | None | $79.43 | $741.31 | $1,348.96 |
Blue Shield Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $165.96 | Professional | None | $81.28 | $114.82 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $173.78 Typical High $354.81 | Facility | None | $6.46 | $173.78 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $69.18 Typical High $151.36 | Professional | None | $38.90 | $69.18 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $354.81 Typical High $776.25 | Professional | None | $138.04 | $354.81 | $776.25 |
Lucent Health Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Molina Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $5.75 Median $95.50 Typical High $295.12 | Facility | None | $5.75 | $95.50 | $295.12 |
Providence Setting Professional Modifier None Typical Low $38.90 Median $69.18 Typical High $151.36 | Professional | None | $38.90 | $69.18 | $151.36 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $93.33 | Facility | None | $61.66 | $61.66 | $93.33 |
United Setting Professional Modifier None Typical Low $32.36 Median $43.65 Typical High $83.18 | Professional | None | $32.36 | $43.65 | $83.18 |
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 $35.48 | Professional | 52 · Reduced service | $29.51 | $34.67 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.80 Typical High $14.13 | Professional | 53 · Discontinued | $12.02 | $13.80 | $14.13 |
Where California sits
The same service costs 9.3 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· 18th of 51
$69.18
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.