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 $181.97 Median $467.74 Typical High $1,122.02 | Facility | None | $181.97 | $467.74 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $181.97 Typical High $186.21 | Professional | None | $162.18 | $181.97 | $186.21 |
Ambetter Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $1,071.52 | Facility | None | $269.15 | $389.05 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $91.20 Typical High $281.84 | Professional | None | $87.10 | $91.20 | $281.84 |
Blue Shield Setting Facility Modifier None Typical Low $288.40 Median $1,258.93 Typical High $2,344.23 | Facility | None | $288.40 | $1,258.93 | $2,344.23 |
Blue Shield Setting Professional Modifier None Typical Low $151.36 Median $218.78 Typical High $309.03 | Professional | None | $151.36 | $218.78 | $309.03 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $281.84 | Professional | None | $173.78 | $173.78 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $295.12 Typical High $707.95 | Facility | None | $144.54 | $295.12 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $263.03 Typical High $331.13 | Professional | None | $120.23 | $263.03 | $331.13 |
Contra Costa Health Setting Professional Modifier None Typical Low $218.78 Median $239.88 Typical High $239.88 | Professional | None | $218.78 | $239.88 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $588.84 | Professional | None | $186.21 | $239.88 | $588.84 |
Providence Setting Facility Modifier None Typical Low $131.83 Median $251.19 Typical High $575.44 | Facility | None | $131.83 | $251.19 | $575.44 |
Providence Setting Professional Modifier None Typical Low $120.23 Median $218.78 Typical High $436.52 | Professional | None | $120.23 | $218.78 | $436.52 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $218.78 | Facility | None | $91.20 | $91.20 | $218.78 |
United Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $501.19 | Professional | None | $91.20 | $131.83 | $501.19 |
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 $81.28 Median $234.42 Typical High $562.34 | Facility | 52 · Reduced service | $81.28 | $234.42 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $32.36 Median $93.33 Typical High $223.87 | Facility | 53 · Discontinued | $32.36 | $93.33 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $75.86 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $30.20 | $37.15 | $37.15 |
Where California sits
The same service costs 3.7 times more in Alaska than in West Virginia. 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· 27th of 51
$195
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.