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 $39.81 Median $42.66 Typical High $42.66 | Facility | None | $39.81 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $39.81 Typical High $44.67 | Professional | None | $38.90 | $39.81 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $39.81 Typical High $162.18 | Facility | None | $31.62 | $39.81 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $33.11 Typical High $251.19 | Professional | None | $31.62 | $33.11 | $251.19 |
Blue Shield Setting Professional Modifier None Typical Low $29.51 Median $42.66 Typical High $61.66 | Professional | None | $29.51 | $42.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $57.54 Typical High $186.21 | Professional | None | $42.66 | $57.54 | $186.21 |
Contra Costa Health Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $56.23 | Professional | None | $46.77 | $51.29 | $56.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $125.89 | Professional | None | $38.02 | $47.86 | $125.89 |
Lucent Health Setting Professional Modifier None Typical Low $263.03 Median $331.13 Typical High $331.13 | Professional | None | $263.03 | $331.13 | $331.13 |
Molina Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Providence Setting Facility Modifier None Typical Low $39.81 Median $51.29 Typical High $70.79 | Facility | None | $39.81 | $51.29 | $70.79 |
Providence Setting Professional Modifier None Typical Low $42.66 Median $57.54 Typical High $120.23 | Professional | None | $42.66 | $57.54 | $120.23 |
Sutter Health Plus Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $81.28 | Professional | None | $33.11 | $42.66 | $81.28 |
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 $19.50 Median $19.95 Typical High $22.39 | Professional | 52 · Reduced service | $19.50 | $19.95 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.13 Typical High $8.91 | Professional | 53 · Discontinued | $7.76 | $8.13 | $8.91 |
Where California sits
The same service costs 6.0 times more in Alaska than in Ohio. 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· 33rd of 51
$43.65
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.