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 $331.13 Median $851.14 Typical High $2,089.30 | Facility | None | $331.13 | $851.14 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $380.19 | Professional | None | $331.13 | $354.81 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $245.47 Typical High $251.19 | Facility | None | $109.65 | $245.47 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $302.00 | Professional | None | $107.15 | $107.15 | $302.00 |
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 $14.13 Median $19.95 Typical High $27.54 | Professional | None | $14.13 | $19.95 | $27.54 |
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 $109.65 Median $109.65 Typical High $138.04 | Professional | None | $109.65 | $109.65 | $138.04 |
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 $407.38 Median $1,202.26 Typical High $2,238.72 | Professional | None | $407.38 | $1,202.26 | $2,238.72 |
Providence Setting Facility Modifier None Typical Low $46.77 Median $302.00 Typical High $436.52 | Facility | None | $46.77 | $302.00 | $436.52 |
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 $389.05 | Professional | None | $19.95 | $28.84 | $389.05 |
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 $165.96 Median $426.58 Typical High $1,047.13 | Facility | 52 · Reduced service | $165.96 | $426.58 | $1,047.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $66.07 Median $169.82 Typical High $416.87 | Facility | 53 · Discontinued | $66.07 | $169.82 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $165.96 Typical High $190.55 | Professional | 52 · Reduced service | $158.49 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $66.07 Typical High $75.86 | Professional | 53 · Discontinued | $63.10 | $66.07 | $75.86 |
Where California sits
The same service costs 25.1 times more in Vermont than in Michigan. 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· 39th of 51
$107
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.