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 $24.55 Median $81.28 Typical High $181.97 | Facility | None | $24.55 | $81.28 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $24.55 | Professional | None | $20.42 | $24.55 | $24.55 |
Ambetter Setting Professional Modifier None Typical Low $21.38 Median $28.84 Typical High $33.88 | Professional | None | $21.38 | $28.84 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $32.36 Typical High $131.83 | Facility | None | $25.70 | $32.36 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $25.70 Typical High $39.81 | Professional | None | $25.12 | $25.70 | $39.81 |
Blue Shield Setting Facility Modifier None Typical Low $61.66 Median $870.96 Typical High $1,905.46 | Facility | None | $61.66 | $870.96 | $1,905.46 |
Blue Shield Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $85.11 | Professional | None | $29.51 | $38.90 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $66.07 | Professional | None | $20.89 | $23.99 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $38.90 | Professional | None | $24.55 | $28.84 | $38.90 |
Lucent Health Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $331.13 | Professional | None | $257.04 | $257.04 | $331.13 |
Optum Setting Professional Modifier None Typical Low $30.20 Median $64.57 Typical High $64.57 | Professional | None | $30.20 | $64.57 | $64.57 |
Optum Setting Professional Modifier HN · Bachelor's level Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | HN · Bachelor's level | $25.12 | $25.12 | $25.12 |
Providence Setting Facility Modifier None Typical Low $24.55 Median $35.48 Typical High $61.66 | Facility | None | $24.55 | $35.48 | $61.66 |
Providence Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $63.10 | Professional | None | $20.89 | $24.55 | $63.10 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $257.04 | Facility | None | $165.96 | $165.96 | $257.04 |
United Setting Professional Modifier None Typical Low $38.90 Median $52.48 Typical High $141.25 | Professional | None | $38.90 | $52.48 | $141.25 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $25.12 Median $25.12 Typical High $28.18 | Professional | HN · Bachelor's level | $25.12 | $25.12 | $28.18 |
4 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 HO · Master's level Typical Low $31.62 Median $57.54 Typical High $57.54 | Professional | HO · Master's level | $31.62 | $57.54 | $57.54 |
HealthNet Setting Professional Modifier HO · Master's level Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | HO · Master's level | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier HO · Master's level Typical Low $30.20 Median $30.20 Typical High $33.11 | Professional | HO · Master's level | $30.20 | $30.20 | $33.11 |
United Setting Professional Modifier HP · Doctoral level Typical Low $30.20 Median $30.20 Typical High $33.11 | Professional | HP · Doctoral level | $30.20 | $30.20 | $33.11 |
Where California sits
The same service costs 4.8 times more in Wyoming than in West Virginia. 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· 31st of 51
$25.12
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.