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 $83.18 Median $199.53 Typical High $575.44 | Facility | None | $83.18 | $199.53 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $134.90 | Professional | None | $72.44 | $89.13 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $79.43 | Professional | None | $67.61 | $70.79 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $109.65 Typical High $123.03 | Facility | None | $104.71 | $109.65 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $107.15 Typical High $138.04 | Professional | None | $66.07 | $107.15 | $138.04 |
Blue Shield Setting Facility Modifier None Typical Low $69.18 Median $489.78 Typical High $891.25 | Facility | None | $69.18 | $489.78 | $891.25 |
Blue Shield Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $91.20 | Professional | None | $45.71 | $66.07 | $91.20 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $15.85 Median $109.65 Typical High $109.65 | Professional | None | $15.85 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $93.33 Typical High $112.20 | Facility | None | $83.18 | $93.33 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $81.28 Typical High $128.82 | Professional | None | $61.66 | $81.28 | $128.82 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.72 Median $97.72 Typical High $107.15 | Professional | None | $10.72 | $97.72 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $162.18 | Professional | None | $75.86 | $85.11 | $162.18 |
Lucent Health Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $630.96 | Professional | None | $489.78 | $630.96 | $630.96 |
Molina Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $104.71 Typical High $151.36 | Facility | None | $83.18 | $104.71 | $151.36 |
Providence Setting Professional Modifier None Typical Low $61.66 Median $81.28 Typical High $125.89 | Professional | None | $61.66 | $81.28 | $125.89 |
Sutter Health Plus Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
United Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $181.97 | Facility | None | $117.49 | $117.49 | $181.97 |
United Setting Professional Modifier None Typical Low $57.54 Median $77.62 Typical High $131.83 | Professional | None | $57.54 | $77.62 | $131.83 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | XS · Separate structure | $81.28 | $81.28 | $81.28 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | XU · Unusual separate service | $66.07 | $66.07 | $66.07 |
Where California sits
The same service costs 3.0 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· 29th of 51
$89.13
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.