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 $199.53 Median $213.80 Typical High $218.78 | Facility | None | $199.53 | $213.80 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $213.80 Typical High $275.42 | Professional | None | $199.53 | $213.80 | $275.42 |
Ambetter Setting Professional Modifier None Typical Low $213.80 Median $218.78 Typical High $218.78 | Professional | None | $213.80 | $218.78 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $190.55 Typical High $208.93 | Facility | None | $177.83 | $190.55 | $208.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $190.55 Typical High $389.05 | Professional | None | $181.97 | $190.55 | $389.05 |
Blue Shield Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $323.59 | Professional | None | $154.88 | $223.87 | $323.59 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $181.97 Median $234.42 Typical High $288.40 | Professional | None | $181.97 | $234.42 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $239.88 Typical High $363.08 | Professional | None | $208.93 | $239.88 | $363.08 |
Contra Costa Health Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $281.84 | Professional | None | $186.21 | $218.78 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $407.38 | Professional | None | $177.83 | $229.09 | $407.38 |
Lucent Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,288.25 | $1,862.09 | $1,862.09 |
Molina Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $302.00 | Professional | None | $177.83 | $177.83 | $302.00 |
Providence Setting Facility Modifier None Typical Low $199.53 Median $295.12 Typical High $398.11 | Facility | None | $199.53 | $295.12 | $398.11 |
Providence Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $389.05 | Professional | None | $208.93 | $234.42 | $389.05 |
Sutter Health Plus Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $691.83 | Professional | None | $676.08 | $676.08 | $691.83 |
United Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $426.58 | Professional | None | $162.18 | $218.78 | $426.58 |
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 $100.00 Median $107.15 Typical High $109.65 | Facility | 52 · Reduced service | $100.00 | $107.15 | $109.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $42.66 Typical High $43.65 | Facility | 53 · Discontinued | $39.81 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $102.33 Typical High $114.82 | Professional | 52 · Reduced service | $97.72 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $40.74 Typical High $45.71 | Professional | 53 · Discontinued | $38.90 | $40.74 | $45.71 |
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· 37th of 51
$219
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.