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 $35.48 Median $38.90 Typical High $42.66 | Facility | None | $35.48 | $38.90 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $35.48 Typical High $42.66 | Professional | None | $33.88 | $35.48 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $72.44 Typical High $295.12 | Facility | None | $57.54 | $72.44 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $61.66 Typical High $489.78 | Professional | None | $57.54 | $61.66 | $489.78 |
Blue Shield Setting Professional Modifier None Typical Low $29.51 Median $41.69 Typical High $61.66 | Professional | None | $29.51 | $41.69 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $95.50 Typical High $316.23 | Professional | None | $47.86 | $95.50 | $316.23 |
Contra Costa Health Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $128.82 | Professional | None | $107.15 | $117.49 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $269.15 | Professional | None | $83.18 | $102.33 | $269.15 |
Lucent Health Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $660.69 | Professional | None | $501.19 | $660.69 | $660.69 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Providence Setting Facility Modifier None Typical Low $35.48 Median $89.13 Typical High $117.49 | Facility | None | $35.48 | $89.13 | $117.49 |
Providence Setting Professional Modifier None Typical Low $47.86 Median $93.33 Typical High $208.93 | Professional | None | $47.86 | $93.33 | $208.93 |
Sutter Health Plus Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $35.48 Median $57.54 Typical High $138.04 | Professional | None | $35.48 | $57.54 | $138.04 |
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 $16.60 Median $17.78 Typical High $21.38 | Professional | 52 · Reduced service | $16.60 | $17.78 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.08 Typical High $8.51 | Professional | 53 · Discontinued | $6.76 | $7.08 | $8.51 |
Where California sits
The same service costs 6.6 times more in Alaska than in Missouri. 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
$63.10
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.