How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $4,466.84 Median $9,120.11 Typical High $19,054.61 | Facility | None | $4,466.84 | $9,120.11 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $4,677.35 Median $6,760.83 Typical High $18,197.01 | Professional | None | $4,677.35 | $6,760.83 | $18,197.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $63.10 Typical High $257.04 | Facility | None | $48.98 | $63.10 | $257.04 |
Blue Shield Setting Facility Modifier None Typical Low $41.69 Median $69.18 Typical High $120.23 | Facility | None | $41.69 | $69.18 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $34.67 Typical High $112.20 | Facility | None | $28.84 | $34.67 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $407.38 Typical High $1,737.80 | Professional | None | $141.25 | $407.38 | $1,737.80 |
Providence Setting Facility Modifier None Typical Low $28.84 Median $34.67 Typical High $112.20 | Facility | None | $28.84 | $34.67 | $112.20 |
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 $47.86 Median $47.86 Typical High $72.44 | Facility | None | $47.86 | $47.86 | $72.44 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 59 · Distinct service | $275.42 | $275.42 | $275.42 |
Where California sits
The same service costs 478630.1 times more in Wisconsin than in Michigan. 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· 25th of 47
$158
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.