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 $19.95 Median $19.95 Typical High $186.21 | Facility | None | $19.95 | $19.95 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $21.88 Typical High $194.98 | Professional | None | $16.60 | $21.88 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $245.47 Typical High $251.19 | Facility | None | $25.70 | $245.47 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $181.97 | Professional | None | $25.12 | $25.12 | $181.97 |
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 $104.71 Median $151.36 Typical High $204.17 | Professional | None | $104.71 | $151.36 | $204.17 |
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 $19.05 Median $19.05 Typical High $23.99 | Professional | None | $19.05 | $19.05 | $23.99 |
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 $89.13 Median $234.42 Typical High $416.87 | Professional | None | $89.13 | $234.42 | $416.87 |
Providence Setting Facility Modifier None Typical Low $10.47 Median $44.67 Typical High $181.97 | Facility | None | $10.47 | $44.67 | $181.97 |
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 $83.18 | Professional | None | $19.95 | $28.84 | $83.18 |
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 $6.61 Median $13.18 Typical High $34.67 | Facility | 52 · Reduced service | $6.61 | $13.18 | $34.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.69 Median $5.25 Typical High $13.80 | Facility | 53 · Discontinued | $2.69 | $5.25 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $10.00 Typical High $91.20 | Professional | 52 · Reduced service | $5.25 | $10.00 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $3.98 Typical High $37.15 | Professional | 53 · Discontinued | $2.14 | $3.98 | $37.15 |
Where California sits
The same service costs 18.6 times more in Hawaii than in North Carolina. 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· 8th of 51
$102
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.