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 $229.09 Median $257.04 Typical High $831.76 | Facility | None | $229.09 | $257.04 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $251.19 Typical High $302.00 | Professional | None | $229.09 | $251.19 | $302.00 |
Ambetter Setting Professional Modifier None Typical Low $125.89 Median $288.40 Typical High $426.58 | Professional | None | $125.89 | $288.40 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $104.71 Typical High $114.82 | Facility | None | $97.72 | $104.71 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $489.78 Typical High $776.25 | Professional | None | $380.19 | $489.78 | $776.25 |
Blue Shield Setting Facility Modifier None Typical Low $213.80 Median $537.03 Typical High $954.99 | Facility | None | $213.80 | $537.03 | $954.99 |
Blue Shield Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $389.05 | Professional | None | $208.93 | $295.12 | $389.05 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $288.40 Median $389.05 Typical High $416.87 | Professional | None | $288.40 | $389.05 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $288.40 Typical High $588.84 | Facility | None | $199.53 | $288.40 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $1,122.02 | Professional | None | $245.47 | $363.08 | $1,122.02 |
Contra Costa Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $295.12 | Professional | None | $245.47 | $245.47 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $251.19 Median $309.03 Typical High $616.60 | Professional | None | $251.19 | $309.03 | $616.60 |
Lucent Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,511.89 Typical High $2,511.89 | Professional | None | $1,548.82 | $2,511.89 | $2,511.89 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $331.13 Typical High $562.34 | Facility | None | $229.09 | $331.13 | $562.34 |
Providence Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $1,122.02 | Professional | None | $234.42 | $316.23 | $1,122.02 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $549.54 | Facility | None | $354.81 | $354.81 | $549.54 |
United Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $562.34 | Professional | None | $190.55 | $257.04 | $562.34 |
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 $112.20 Median $114.82 Typical High $128.82 | Professional | 52 · Reduced service | $112.20 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $51.29 | Professional | 53 · Discontinued | $44.67 | $45.71 | $51.29 |
Where California sits
The same service costs 2.8 times more in Nebraska than in Florida. 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· 24th of 51
$316
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.