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 $208.93 Median $524.81 Typical High $1,479.11 | Facility | None | $208.93 | $524.81 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $223.87 Typical High $309.03 | Professional | None | $204.17 | $223.87 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $251.19 Typical High $467.74 | Facility | None | $245.47 | $251.19 | $467.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $251.19 Median $398.11 Typical High $616.60 | Professional | None | $251.19 | $398.11 | $616.60 |
Blue Shield Setting Facility Modifier None Typical Low $72.44 Median $123.03 Typical High $218.78 | Facility | None | $72.44 | $123.03 | $218.78 |
Blue Shield Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $275.42 | Professional | None | $141.25 | $199.53 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $57.54 Typical High $190.55 | Facility | None | $33.88 | $57.54 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $316.23 | Professional | None | $251.19 | $251.19 | $316.23 |
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 $346.74 Median $512.86 Typical High $891.25 | Professional | None | $346.74 | $512.86 | $891.25 |
Providence Setting Facility Modifier None Typical Low $47.86 Median $208.93 Typical High $331.13 | Facility | None | $47.86 | $208.93 | $331.13 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $131.83 | Facility | None | $85.11 | $85.11 | $131.83 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.84 Typical High $363.08 | Professional | None | $19.95 | $28.84 | $363.08 |
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 $104.71 Median $257.04 Typical High $741.31 | Facility | 52 · Reduced service | $104.71 | $257.04 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $41.69 Median $104.71 Typical High $295.12 | Facility | 53 · Discontinued | $41.69 | $104.71 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $104.71 Typical High $165.96 | Professional | 52 · Reduced service | $102.33 | $104.71 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $41.69 Typical High $66.07 | Professional | 53 · Discontinued | $40.74 | $41.69 | $66.07 |
Where California sits
The same service costs 7.4 times more in South Dakota than in Arkansas. 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· 29th of 51
$263
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.