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 $151.36 Median $162.18 Typical High $165.96 | Facility | None | $151.36 | $162.18 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $165.96 Typical High $208.93 | Professional | None | $151.36 | $165.96 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $501.19 | Professional | None | $158.49 | $158.49 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $144.54 Typical High $158.49 | Facility | None | $134.90 | $144.54 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $141.25 Typical High $295.12 | Professional | None | $138.04 | $141.25 | $295.12 |
Blue Shield Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $239.88 | Professional | None | $117.49 | $169.82 | $239.88 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $138.04 Median $177.83 Typical High $218.78 | Professional | None | $138.04 | $177.83 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $177.83 Typical High $275.42 | Professional | None | $158.49 | $177.83 | $275.42 |
Contra Costa Health Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $213.80 | Professional | None | $138.04 | $165.96 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $173.78 Typical High $309.03 | Professional | None | $134.90 | $173.78 | $309.03 |
Lucent Health Setting Professional Modifier None Typical Low $977.24 Median $1,380.38 Typical High $1,380.38 | Professional | None | $977.24 | $1,380.38 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $229.09 | Professional | None | $138.04 | $138.04 | $229.09 |
Providence Setting Facility Modifier None Typical Low $151.36 Median $223.87 Typical High $302.00 | Facility | None | $151.36 | $223.87 | $302.00 |
Providence Setting Professional Modifier None Typical Low $158.49 Median $177.83 Typical High $295.12 | Professional | None | $158.49 | $177.83 | $295.12 |
Sutter Health Plus Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $524.81 | Professional | None | $512.86 | $512.86 | $524.81 |
United Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $323.59 | Professional | None | $123.03 | $165.96 | $323.59 |
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 $75.86 Median $81.28 Typical High $83.18 | Facility | 52 · Reduced service | $75.86 | $81.28 | $83.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $32.36 Typical High $33.11 | Facility | 53 · Discontinued | $30.20 | $32.36 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $75.86 Typical High $87.10 | Professional | 52 · Reduced service | $74.13 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.90 Typical High $34.67 | Professional | 53 · Discontinued | $29.51 | $30.90 | $34.67 |
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· 38th of 51
$166
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.