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 $186.21 Median $457.09 Typical High $1,348.96 | Facility | None | $186.21 | $457.09 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $186.21 Typical High $269.15 | Professional | None | $154.88 | $186.21 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $229.09 Typical High $251.19 | Facility | None | $213.80 | $229.09 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $218.78 Typical High $331.13 | Professional | None | $141.25 | $218.78 | $331.13 |
Blue Shield Setting Facility Modifier None Typical Low $281.84 Median $1,096.48 Typical High $1,949.84 | Facility | None | $281.84 | $1,096.48 | $1,949.84 |
Blue Shield Setting Professional Modifier None Typical Low $131.83 Median $190.55 Typical High $251.19 | Professional | None | $131.83 | $190.55 | $251.19 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $69.18 Median $204.17 Typical High $204.17 | Professional | None | $69.18 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $457.09 Typical High $524.81 | Facility | None | $147.91 | $457.09 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $186.21 Typical High $257.04 | Professional | None | $144.54 | $186.21 | $257.04 |
Contra Costa Health Setting Professional Modifier None Typical Low $45.71 Median $181.97 Typical High $199.53 | Professional | None | $45.71 | $181.97 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $338.84 | Professional | None | $141.25 | $162.18 | $338.84 |
Lucent Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,023.29 | $1,174.90 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Providence Setting Facility Modifier None Typical Low $186.21 Median $263.03 Typical High $363.08 | Facility | None | $186.21 | $263.03 | $363.08 |
Providence Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $257.04 | Professional | None | $144.54 | $181.97 | $257.04 |
Sutter Health Plus Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
United Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $831.76 | Facility | None | $537.03 | $537.03 | $831.76 |
United Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $251.19 | Professional | None | $107.15 | $151.36 | $251.19 |
1 more rate 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 59 · Distinct service Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 59 · Distinct service | $154.88 | $154.88 | $154.88 |
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· 15th of 51
$204
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.