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 $63.10 Median $67.61 Typical High $74.13 | Facility | None | $63.10 | $67.61 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $69.18 Typical High $95.50 | Professional | None | $58.88 | $69.18 | $95.50 |
Ambetter Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $131.83 | Professional | None | $44.67 | $44.67 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $69.18 Typical High $75.86 | Facility | None | $64.57 | $69.18 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $66.07 Typical High $208.93 | Professional | None | $53.70 | $66.07 | $208.93 |
Blue Shield Setting Facility Modifier None Typical Low $107.15 Median $489.78 Typical High $758.58 | Facility | None | $107.15 | $489.78 | $758.58 |
Blue Shield Setting Professional Modifier None Typical Low $53.70 Median $77.62 Typical High $104.71 | Professional | None | $53.70 | $77.62 | $104.71 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $72.44 | Professional | None | $57.54 | $70.79 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $123.03 | Professional | None | $54.95 | $72.44 | $123.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $85.11 | Professional | None | $47.86 | $63.10 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $173.78 | Professional | None | $45.71 | $56.23 | $173.78 |
Lucent Health Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Optum Setting Professional Modifier None Typical Low $30.90 Median $54.95 Typical High $70.79 | Professional | None | $30.90 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $63.10 Median $97.72 Typical High $177.83 | Facility | None | $63.10 | $97.72 | $177.83 |
Providence Setting Professional Modifier None Typical Low $54.95 Median $74.13 Typical High $117.49 | Professional | None | $54.95 | $74.13 | $117.49 |
Sutter Health Plus Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
United Setting Professional Modifier None Typical Low $36.31 Median $63.10 Typical High $97.72 | Professional | None | $36.31 | $63.10 | $97.72 |
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 $25.70 Median $31.62 Typical High $37.15 | Professional | 52 · Reduced service | $25.70 | $31.62 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $12.59 Typical High $14.79 | Professional | 53 · Discontinued | $10.23 | $12.59 | $14.79 |
Where California sits
The same service costs 3.5 times more in Minnesota 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· 18th of 51
$69.18
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.