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 $117.49 Median $323.59 Typical High $977.24 | Facility | None | $117.49 | $323.59 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $125.89 Typical High $181.97 | Professional | None | $97.72 | $125.89 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $245.47 Typical High $251.19 | Facility | None | $33.11 | $245.47 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $125.89 | Professional | None | $32.36 | $32.36 | $125.89 |
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 $58.88 Median $85.11 Typical High $117.49 | Professional | None | $58.88 | $85.11 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $67.61 Typical High $181.97 | Facility | None | $33.88 | $67.61 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $77.62 | Professional | None | $63.10 | $63.10 | $77.62 |
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 $117.49 Median $269.15 Typical High $489.78 | Professional | None | $117.49 | $269.15 | $489.78 |
Providence Setting Facility Modifier None Typical Low $33.11 Median $109.65 Typical High $173.78 | Facility | None | $33.11 | $109.65 | $173.78 |
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 $52.48 Typical High $131.83 | Professional | None | $19.95 | $52.48 | $131.83 |
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 $58.88 Median $162.18 Typical High $489.78 | Facility | 52 · Reduced service | $58.88 | $162.18 | $489.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.44 Median $64.57 Typical High $194.98 | Facility | 53 · Discontinued | $23.44 | $64.57 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $63.10 Typical High $79.43 | Professional | 52 · Reduced service | $45.71 | $63.10 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $25.12 Typical High $31.62 | Professional | 53 · Discontinued | $18.20 | $25.12 | $31.62 |
Where California sits
The same service costs 15.8 times more in Illinois than in Colorado. 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· 28th of 51
$85.11
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.