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 $128.82 Median $138.04 Typical High $141.25 | Facility | None | $128.82 | $138.04 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $141.25 Typical High $181.97 | Professional | None | $125.89 | $141.25 | $181.97 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $724.44 Typical High $724.44 | Professional | None | $123.03 | $724.44 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $123.03 Typical High $134.90 | Facility | None | $114.82 | $123.03 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $120.23 Typical High $251.19 | Professional | None | $114.82 | $120.23 | $251.19 |
Blue Shield Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $204.17 | Professional | None | $100.00 | $144.54 | $204.17 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $114.82 Median $147.91 Typical High $181.97 | Professional | None | $114.82 | $147.91 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $234.42 | Professional | None | $134.90 | $154.88 | $234.42 |
Contra Costa Health Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $177.83 | Professional | None | $117.49 | $138.04 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $144.54 Typical High $257.04 | Professional | None | $112.20 | $144.54 | $257.04 |
Lucent Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $194.98 | Professional | None | $117.49 | $117.49 | $194.98 |
Providence Setting Facility Modifier None Typical Low $128.82 Median $190.55 Typical High $263.03 | Facility | None | $128.82 | $190.55 | $263.03 |
Providence Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $251.19 | Professional | None | $134.90 | $151.36 | $251.19 |
Sutter Health Plus Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $446.68 | Professional | None | $436.52 | $436.52 | $446.68 |
United Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $275.42 | Professional | None | $104.71 | $141.25 | $275.42 |
4 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 Facility Modifier 52 · Reduced service Typical Low $64.57 Median $69.18 Typical High $70.79 | Facility | 52 · Reduced service | $64.57 | $69.18 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $27.54 Typical High $28.18 | Facility | 53 · Discontinued | $25.70 | $27.54 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $64.57 Typical High $74.13 | Professional | 52 · Reduced service | $63.10 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.30 Typical High $29.51 | Professional | 53 · Discontinued | $25.12 | $26.30 | $29.51 |
Where California sits
The same service costs 2.8 times more in Alaska 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· 39th of 51
$141
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.