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 $1,047.13 Median $2,691.53 Typical High $6,309.57 | Facility | None | $1,047.13 | $2,691.53 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,047.13 Typical High $1,174.90 | Professional | None | $912.01 | $1,047.13 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $758.58 Typical High $1,148.15 | Facility | None | $741.31 | $758.58 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $1,000.00 Typical High $3,090.30 | Professional | None | $537.03 | $1,000.00 | $3,090.30 |
Blue Shield Setting Facility Modifier None Typical Low $91.20 Median $131.83 Typical High $489.78 | Facility | None | $91.20 | $131.83 | $489.78 |
Blue Shield Setting Professional Modifier None Typical Low $173.78 Median $251.19 Typical High $346.74 | Professional | None | $173.78 | $251.19 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $147.91 Typical High $3,388.44 | Facility | None | $32.36 | $147.91 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $1,202.26 Typical High $3,890.45 | Professional | None | $549.54 | $1,202.26 | $3,890.45 |
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 $954.99 Median $2,187.76 Typical High $5,888.44 | Professional | None | $954.99 | $2,187.76 | $5,888.44 |
Providence Setting Facility Modifier None Typical Low $39.81 Median $1,258.93 Typical High $3,311.31 | Facility | None | $39.81 | $1,258.93 | $3,311.31 |
Providence Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $3,981.07 | Professional | None | $549.54 | $831.76 | $3,981.07 |
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 $436.52 Median $776.25 Typical High $3,090.30 | Professional | None | $436.52 | $776.25 | $3,090.30 |
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 $524.81 Median $1,348.96 Typical High $3,162.28 | Facility | 52 · Reduced service | $524.81 | $1,348.96 | $3,162.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $213.80 Median $537.03 Typical High $1,258.93 | Facility | 53 · Discontinued | $213.80 | $537.03 | $1,258.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $524.81 Typical High $549.54 | Professional | 52 · Reduced service | $407.38 | $524.81 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $213.80 Typical High $218.78 | Professional | 53 · Discontinued | $162.18 | $213.80 | $218.78 |
Where California sits
The same service costs 43.7 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· 14th of 51
$1,000
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.