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 $812.83 Median $2,089.30 Typical High $5,370.32 | Facility | None | $812.83 | $2,089.30 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $1,348.96 | Professional | None | $724.44 | $831.76 | $1,348.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $758.58 Typical High $1,047.13 | Facility | None | $741.31 | $758.58 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $1,548.82 | Professional | None | $812.83 | $891.25 | $1,548.82 |
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 $707.95 Median $1,000.00 Typical High $1,380.38 | Professional | None | $707.95 | $1,000.00 | $1,380.38 |
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 $524.81 Median $524.81 Typical High $645.65 | Professional | None | $524.81 | $524.81 | $645.65 |
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 $1,023.29 Median $2,137.96 Typical High $3,801.89 | Professional | None | $1,023.29 | $2,137.96 | $3,801.89 |
Providence Setting Facility Modifier None Typical Low $138.04 Median $758.58 Typical High $1,348.96 | Facility | None | $138.04 | $758.58 | $1,348.96 |
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 $1,348.96 | Professional | None | $19.95 | $28.84 | $1,348.96 |
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 $407.38 Median $1,023.29 Typical High $2,691.53 | Facility | 52 · Reduced service | $407.38 | $1,023.29 | $2,691.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $162.18 Median $416.87 Typical High $1,071.52 | Facility | 53 · Discontinued | $162.18 | $416.87 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $407.38 Typical High $676.08 | Professional | 52 · Reduced service | $363.08 | $407.38 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $162.18 Typical High $269.15 | Professional | 53 · Discontinued | $144.54 | $162.18 | $269.15 |
Where California sits
The same service costs 25.1 times more in Vermont than in Montana. 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· 14th of 51
$891
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.