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 $239.88 Median $263.03 Typical High $269.15 | Facility | None | $239.88 | $263.03 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $338.84 | Professional | None | $239.88 | $263.03 | $338.84 |
Ambetter Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $288.40 | Professional | None | $204.17 | $263.03 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $234.42 Typical High $257.04 | Facility | None | $218.78 | $234.42 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $218.78 Median $229.09 Typical High $467.74 | Professional | None | $218.78 | $229.09 | $467.74 |
Blue Shield Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $389.05 | Professional | None | $190.55 | $269.15 | $389.05 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $218.78 Median $281.84 Typical High $346.74 | Professional | None | $218.78 | $281.84 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $436.52 | Professional | None | $257.04 | $288.40 | $436.52 |
Contra Costa Health Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $338.84 | Professional | None | $223.87 | $263.03 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $489.78 | Professional | None | $213.80 | $281.84 | $489.78 |
Lucent Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Providence Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $489.78 | Facility | None | $239.88 | $363.08 | $489.78 |
Providence Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $467.74 | Professional | None | $257.04 | $288.40 | $467.74 |
Sutter Health Plus Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
United Setting Professional Modifier None Typical Low $199.53 Median $263.03 Typical High $512.86 | Professional | None | $199.53 | $263.03 | $512.86 |
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 $120.23 Median $131.83 Typical High $131.83 | Facility | 52 · Reduced service | $120.23 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $52.48 Typical High $53.70 | Facility | 53 · Discontinued | $47.86 | $52.48 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $123.03 Typical High $138.04 | Professional | 52 · Reduced service | $120.23 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $48.98 Typical High $56.23 | Professional | 53 · Discontinued | $47.86 | $48.98 | $56.23 |
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
$269
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.