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 $338.84 Median $851.14 Typical High $2,187.76 | Facility | None | $338.84 | $851.14 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $346.74 Typical High $416.87 | Professional | None | $331.13 | $346.74 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $741.31 Typical High $758.58 | Facility | None | $501.19 | $741.31 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $1,621.81 | Professional | None | $501.19 | $501.19 | $1,621.81 |
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 $46.77 Median $169.82 Typical High $549.54 | Facility | None | $46.77 | $169.82 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $208.93 | Professional | None | $169.82 | $169.82 | $208.93 |
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 $1,071.52 Typical High $1,995.26 | Professional | None | $407.38 | $1,071.52 | $1,995.26 |
Providence Setting Facility Modifier None Typical Low $138.04 Median $346.74 Typical High $512.86 | Facility | None | $138.04 | $346.74 | $512.86 |
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 $281.84 Median $281.84 Typical High $426.58 | Facility | None | $281.84 | $281.84 | $426.58 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.84 Typical High $257.04 | Professional | None | $19.95 | $28.84 | $257.04 |
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 $169.82 Median $426.58 Typical High $1,096.48 | Facility | 52 · Reduced service | $169.82 | $426.58 | $1,096.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $169.82 Typical High $446.68 | Facility | 53 · Discontinued | $67.61 | $169.82 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $169.82 Typical High $204.17 | Professional | 52 · Reduced service | $162.18 | $169.82 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $67.61 Typical High $81.28 | Professional | 53 · Discontinued | $66.07 | $67.61 | $81.28 |
Where California sits
The same service costs 6.9 times more in New York than in Kentucky. 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· 13th of 51
$417
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.