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 $53.70 Median $56.23 Typical High $60.26 | Facility | None | $53.70 | $56.23 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $81.28 | Professional | None | $53.70 | $58.88 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $125.89 Typical High $512.86 | Facility | None | $100.00 | $125.89 | $512.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $102.33 Typical High $218.78 | Professional | None | $91.20 | $102.33 | $218.78 |
Blue Shield Setting Professional Modifier None Typical Low $42.66 Median $60.26 Typical High $87.10 | Professional | None | $42.66 | $60.26 | $87.10 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $53.70 Median $64.57 Typical High $72.44 | Professional | None | $53.70 | $64.57 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $112.20 | Professional | None | $56.23 | $64.57 | $112.20 |
Contra Costa Health Setting Professional Modifier None Typical Low $47.86 Median $58.88 Typical High $70.79 | Professional | None | $47.86 | $58.88 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $56.23 Typical High $125.89 | Professional | None | $50.12 | $56.23 | $125.89 |
Lucent Health Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $457.09 | Professional | None | $389.05 | $457.09 | $457.09 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $85.11 | Professional | None | $33.11 | $33.11 | $85.11 |
Providence Setting Facility Modifier None Typical Low $53.70 Median $77.62 Typical High $117.49 | Facility | None | $53.70 | $77.62 | $117.49 |
Providence Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $112.20 | Professional | None | $56.23 | $64.57 | $112.20 |
Sutter Health Plus Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
United Setting Professional Modifier None Typical Low $48.98 Median $63.10 Typical High $125.89 | Professional | None | $48.98 | $63.10 | $125.89 |
1 more rate 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 53 · Discontinued Typical Low $10.47 Median $10.72 Typical High $12.02 | Professional | 53 · Discontinued | $10.47 | $10.72 | $12.02 |
Where California sits
The same service costs 3.1 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· 16th of 51
$81.28
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.