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 $112.20 Median $134.90 Typical High $416.87 | Facility | None | $112.20 | $134.90 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $112.20 Typical High $128.82 | Professional | None | $91.20 | $112.20 | $128.82 |
Ambetter Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $138.04 Typical High $562.34 | Facility | None | $107.15 | $138.04 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $281.84 | Professional | None | $87.10 | $109.65 | $281.84 |
Blue Shield Setting Facility Modifier None Typical Low $162.18 Median $912.01 Typical High $1,659.59 | Facility | None | $162.18 | $912.01 | $1,659.59 |
Blue Shield Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $213.80 | Professional | None | $91.20 | $131.83 | $213.80 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $47.86 Median $91.20 Typical High $125.89 | Professional | None | $47.86 | $91.20 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $117.49 Typical High $218.78 | Professional | None | $85.11 | $117.49 | $218.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $39.81 Median $114.82 Typical High $154.88 | Professional | None | $39.81 | $114.82 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $112.20 Typical High $223.87 | Professional | None | $91.20 | $112.20 | $223.87 |
Lucent Health Setting Professional Modifier None Typical Low $758.58 Median $776.25 Typical High $776.25 | Professional | None | $758.58 | $776.25 | $776.25 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $128.82 | Professional | None | $33.11 | $33.11 | $128.82 |
Providence Setting Facility Modifier None Typical Low $112.20 Median $162.18 Typical High $218.78 | Facility | None | $112.20 | $162.18 | $218.78 |
Providence Setting Professional Modifier None Typical Low $85.11 Median $117.49 Typical High $218.78 | Professional | None | $85.11 | $117.49 | $218.78 |
Sutter Health Plus Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
United Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $190.55 | Professional | None | $70.79 | $102.33 | $190.55 |
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 $45.71 Median $56.23 Typical High $64.57 | Professional | 52 · Reduced service | $45.71 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $22.39 Typical High $25.70 | Professional | 53 · Discontinued | $18.20 | $22.39 | $25.70 |
Where California sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 23rd of 51
$123
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.