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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $524.81 | Professional | None | $457.09 | $457.09 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $245.47 Typical High $251.19 | Facility | None | $43.65 | $245.47 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $1,548.82 | Professional | None | $42.66 | $42.66 | $1,548.82 |
Blue Shield Setting Facility Modifier None Typical Low $56.23 Median $85.11 Typical High $169.82 | Facility | None | $56.23 | $85.11 | $169.82 |
Blue Shield Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $138.04 | Professional | None | $70.79 | $100.00 | $138.04 |
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 $2.45 Median $2.45 Typical High $3.09 | Professional | None | $2.45 | $2.45 | $3.09 |
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 $331.13 Median $831.76 Typical High $1,621.81 | Professional | None | $331.13 | $831.76 | $1,621.81 |
Providence Setting Facility Modifier None Typical Low $46.77 Median $251.19 Typical High $457.09 | Facility | None | $46.77 | $251.19 | $457.09 |
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 $165.96 | Professional | None | $19.95 | $28.84 | $165.96 |
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 $229.09 Median $407.38 Typical High $1,000.00 | Facility | 52 · Reduced service | $229.09 | $407.38 | $1,000.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $91.20 Median $162.18 Typical High $398.11 | Facility | 53 · Discontinued | $91.20 | $162.18 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $158.49 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $63.10 | $91.20 | $91.20 |
Where California sits
The same service costs 93.3 times more in Hawaii than in South Dakota. 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· 32nd of 51
$100
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.