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 Professional Modifier None Typical Low $204.17 Median $363.08 Typical High $363.08 | Professional | None | $204.17 | $363.08 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $281.84 Typical High $1,148.15 | Facility | None | $218.78 | $281.84 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $218.78 Median $229.09 Typical High $660.69 | Professional | None | $218.78 | $229.09 | $660.69 |
Blue Shield Setting Facility Modifier None Typical Low $524.81 Median $2,398.83 Typical High $3,715.35 | Facility | None | $524.81 | $2,398.83 | $3,715.35 |
Blue Shield Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $575.44 | Professional | None | $229.09 | $323.59 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $28,840.32 Typical High $34,673.69 | Facility | None | $794.33 | $28,840.32 | $34,673.69 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $302.00 Typical High $758.58 | Professional | None | $234.42 | $302.00 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $707.95 Typical High $1,318.26 | Professional | None | $512.86 | $707.95 | $1,318.26 |
Lucent Health Setting Professional Modifier None Typical Low $1,995.26 Median $2,818.38 Typical High $2,818.38 | Professional | None | $1,995.26 | $2,818.38 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Providence Setting Facility Modifier None Typical Low $295.12 Median $151,356.12 Typical High $251,188.64 | Facility | None | $295.12 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $229.09 Median $275.42 Typical High $1,023.29 | Professional | None | $229.09 | $275.42 | $1,023.29 |
United Setting Professional Modifier None Typical Low $173.78 Median $257.04 Typical High $645.65 | Professional | None | $173.78 | $257.04 | $645.65 |
3 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 Facility Modifier 53 · Discontinued Typical Low $52.48 Median $56.23 Typical High $60.26 | Facility | 53 · Discontinued | $52.48 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $131.83 Typical High $151.36 | Professional | 52 · Reduced service | $112.20 | $131.83 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $52.48 Typical High $60.26 | Professional | 53 · Discontinued | $45.71 | $52.48 | $60.26 |
Where California sits
The same service costs 67.6 times more in Alaska than in Kentucky. 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· 15th of 51
$339
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.