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 $28.84 Median $31.62 Typical High $34.67 | Facility | None | $28.84 | $31.62 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $28.84 Typical High $34.67 | Professional | None | $27.54 | $28.84 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $131.83 Typical High $537.03 | Facility | None | $104.71 | $131.83 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $112.20 Typical High $831.76 | Professional | None | $104.71 | $112.20 | $831.76 |
Blue Shield Setting Facility Modifier None Typical Low $85.11 Median $398.11 Typical High $7,244.36 | Facility | None | $85.11 | $398.11 | $7,244.36 |
Blue Shield Setting Professional Modifier None Typical Low $102.33 Median $147.91 Typical High $218.78 | Professional | None | $102.33 | $147.91 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $194.98 Typical High $645.65 | Professional | None | $117.49 | $194.98 | $645.65 |
Contra Costa Health Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $208.93 | Professional | None | $173.78 | $190.55 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $457.09 | Professional | None | $134.90 | $165.96 | $457.09 |
Lucent Health Setting Professional Modifier None Typical Low $831.76 Median $1,071.52 Typical High $1,071.52 | Professional | None | $831.76 | $1,071.52 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Providence Setting Facility Modifier None Typical Low $28.84 Median $52.48 Typical High $173.78 | Facility | None | $28.84 | $52.48 | $173.78 |
Providence Setting Professional Modifier None Typical Low $112.20 Median $177.83 Typical High $398.11 | Professional | None | $112.20 | $177.83 | $398.11 |
Sutter Health Plus Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
United Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $245.47 | Professional | None | $93.33 | $123.03 | $245.47 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $14.45 Typical High $17.38 | Professional | 52 · Reduced service | $13.80 | $14.45 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.75 Typical High $6.92 | Professional | 53 · Discontinued | $5.50 | $5.75 | $6.92 |
Where California sits
The same service costs 21.4 times more in Alaska than in New York. 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· 22nd of 51
$148
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.