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 $19.50 Median $24.55 Typical High $24.55 | Professional | None | $19.50 | $24.55 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.31 Median $7.94 Typical High $32.36 | Facility | None | $6.31 | $7.94 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $6.31 Typical High $10.00 | Professional | None | $6.17 | $6.31 | $10.00 |
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 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $38.90 | Professional | None | $19.05 | $19.95 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.03 Median $19.05 Typical High $630.96 | Professional | None | $6.03 | $19.05 | $630.96 |
Lucent Health Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $295.12 | Professional | None | $234.42 | $234.42 | $295.12 |
Optum Setting Professional Modifier None Typical Low $8.32 Median $15.85 Typical High $15.85 | Professional | None | $8.32 | $15.85 | $15.85 |
Optum Setting Professional Modifier HN · Bachelor's level Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | HN · Bachelor's level | $7.08 | $7.08 | $7.08 |
Providence Setting Facility Modifier None Typical Low $13.80 Median $24.55 Typical High $35.48 | Facility | None | $13.80 | $24.55 | $35.48 |
Providence Setting Professional Modifier None Typical Low $15.85 Median $19.95 Typical High $56.23 | Professional | None | $15.85 | $19.95 | $56.23 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $95.50 | Facility | None | $61.66 | $61.66 | $95.50 |
United Setting Professional Modifier None Typical Low $16.60 Median $22.91 Typical High $64.57 | Professional | None | $16.60 | $22.91 | $64.57 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $7.08 Median $7.08 Typical High $7.76 | Professional | HN · Bachelor's level | $7.08 | $7.08 | $7.76 |
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 U3 · State-defined Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | U3 · State-defined | $23.99 | $23.99 | $23.99 |
Blue Shield Setting Professional Modifier HO · Master's level Typical Low $17.38 Median $17.38 Typical High $19.05 | Professional | HO · Master's level | $17.38 | $17.38 | $19.05 |
United Setting Professional Modifier HO · Master's level Typical Low $8.32 Median $8.32 Typical High $9.12 | Professional | HO · Master's level | $8.32 | $8.32 | $9.12 |
United Setting Professional Modifier HP · Doctoral level Typical Low $8.32 Median $8.32 Typical High $9.12 | Professional | HP · Doctoral level | $8.32 | $8.32 | $9.12 |
Where California sits
The same service costs 13.2 times more in North Carolina 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· 10th of 51
$24.55
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.