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 $363.08 Median $389.05 Typical High $416.87 | Facility | None | $363.08 | $389.05 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $501.19 | Professional | None | $346.74 | $389.05 | $501.19 |
Ambetter Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $512.86 Typical High $2,137.96 | Facility | None | $407.38 | $512.86 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $416.87 Typical High $602.56 | Professional | None | $398.11 | $416.87 | $602.56 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $281.84 | Facility | None | $100.00 | $100.00 | $281.84 |
Blue Shield Setting Professional Modifier None Typical Low $398.11 Median $575.44 Typical High $758.58 | Professional | None | $398.11 | $575.44 | $758.58 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $630.96 | Professional | None | $371.54 | $436.52 | $630.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $794.33 | Professional | None | $660.69 | $660.69 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $812.83 Typical High $1,318.26 | Professional | None | $575.44 | $812.83 | $1,318.26 |
Lucent Health Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,715.35 | Professional | None | $2,754.23 | $2,754.23 | $3,715.35 |
Molina Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $363.08 Median $537.03 Typical High $776.25 | Facility | None | $363.08 | $537.03 | $776.25 |
Providence Setting Professional Modifier None Typical Low $371.54 Median $426.58 Typical High $630.96 | Professional | None | $371.54 | $426.58 | $630.96 |
United Setting Professional Modifier None Typical Low $281.84 Median $398.11 Typical High $630.96 | Professional | None | $281.84 | $398.11 | $630.96 |
2 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 Professional Modifier 52 · Reduced service Typical Low $165.96 Median $181.97 Typical High $208.93 | Professional | 52 · Reduced service | $165.96 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $72.44 Typical High $83.18 | Professional | 53 · Discontinued | $66.07 | $72.44 | $83.18 |
Where California sits
The same service costs 2.8 times more in Alaska than in Florida. 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· 35th of 51
$437
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.