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 $114.82 Median $128.82 Typical High $141.25 | Facility | None | $114.82 | $128.82 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $257.04 | Professional | None | $114.82 | $128.82 | $257.04 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $169.82 Typical High $186.21 | Facility | None | $158.49 | $169.82 | $186.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $416.87 | Professional | None | $104.71 | $162.18 | $416.87 |
Blue Shield Setting Facility Modifier None Typical Low $114.82 Median $257.04 Typical High $478.63 | Facility | None | $114.82 | $257.04 | $478.63 |
Blue Shield Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $169.82 | Professional | None | $87.10 | $123.03 | $169.82 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $151.36 Median $169.82 Typical High $208.93 | Professional | None | $151.36 | $169.82 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $169.82 Typical High $588.84 | Facility | None | $144.54 | $169.82 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $257.04 | Professional | None | $117.49 | $141.25 | $257.04 |
Contra Costa Health Setting Professional Modifier None Typical Low $104.71 Median $186.21 Typical High $251.19 | Professional | None | $104.71 | $186.21 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $371.54 | Professional | None | $131.83 | $165.96 | $371.54 |
Lucent Health Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,148.15 | Professional | None | $912.01 | $1,148.15 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Providence Setting Facility Modifier None Typical Low $114.82 Median $181.97 Typical High $302.00 | Facility | None | $114.82 | $181.97 | $302.00 |
Providence Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $257.04 | Professional | None | $117.49 | $141.25 | $257.04 |
Sutter Health Plus Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $323.59 | Facility | None | $213.80 | $213.80 | $323.59 |
United Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $263.03 | Professional | None | $102.33 | $128.82 | $263.03 |
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 $54.95 Median $57.54 Typical High $70.79 | Professional | 52 · Reduced service | $54.95 | $57.54 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.91 Typical High $28.84 | Professional | 53 · Discontinued | $21.88 | $22.91 | $28.84 |
Where California sits
The same service costs 3.0 times more in Minnesota 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· 23rd of 51
$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.