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 $724.44 Median $870.96 Typical High $5,370.32 | Facility | None | $724.44 | $870.96 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $1,348.96 | Professional | None | $707.95 | $794.33 | $1,348.96 |
Ambetter Setting Professional Modifier None Typical Low $741.31 Median $758.58 Typical High $831.76 | Professional | None | $741.31 | $758.58 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $851.14 Typical High $933.25 | Facility | None | $794.33 | $851.14 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $4,265.80 | Professional | None | $645.65 | $812.83 | $4,265.80 |
Blue Shield Setting Facility Modifier None Typical Low $114.82 Median $1,202.26 Typical High $2,290.87 | Facility | None | $114.82 | $1,202.26 | $2,290.87 |
Blue Shield Setting Professional Modifier None Typical Low $512.86 Median $741.31 Typical High $1,047.13 | Professional | None | $512.86 | $741.31 | $1,047.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,202.26 | Professional | None | $870.96 | $1,023.29 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $199.53 Typical High $1,174.90 | Facility | None | $162.18 | $199.53 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,819.70 | Professional | None | $691.83 | $870.96 | $1,819.70 |
Contra Costa Health Setting Professional Modifier None Typical Low $676.08 Median $1,071.52 Typical High $1,445.44 | Professional | None | $676.08 | $1,071.52 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $912.01 Typical High $1,862.09 | Professional | None | $741.31 | $912.01 | $1,862.09 |
Lucent Health Setting Professional Modifier None Typical Low $5,754.40 Median $6,606.93 Typical High $6,606.93 | Professional | None | $5,754.40 | $6,606.93 | $6,606.93 |
Molina Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Providence Setting Facility Modifier None Typical Low $199.53 Median $977.24 Typical High $1,258.93 | Facility | None | $199.53 | $977.24 | $1,258.93 |
Providence Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $1,862.09 | Professional | None | $691.83 | $831.76 | $1,862.09 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
United Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $933.25 | Facility | None | $616.60 | $616.60 | $933.25 |
United Setting Professional Modifier None Typical Low $309.03 Median $616.60 Typical High $1,380.38 | Professional | None | $309.03 | $616.60 | $1,380.38 |
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 $812.83 Median $812.83 Typical High $812.83 | Professional | 59 · Distinct service | $812.83 | $812.83 | $812.83 |
Where California sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 34th of 51
$832
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.