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 $30.20 Typical High $34.67 | Facility | None | $24.55 | $30.20 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $28.84 Typical High $41.69 | Professional | None | $22.39 | $28.84 | $41.69 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $34.67 | Professional | None | $27.54 | $30.90 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $30.20 Typical High $123.03 | Facility | None | $23.99 | $30.20 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $24.55 Typical High $34.67 | Professional | None | $23.99 | $24.55 | $34.67 |
Blue Shield Setting Professional Modifier None Typical Low $22.39 Median $31.62 Typical High $37.15 | Professional | None | $22.39 | $31.62 | $37.15 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $33.11 Median $33.88 Typical High $41.69 | Professional | None | $33.11 | $33.88 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $35.48 Typical High $50.12 | Professional | None | $30.90 | $35.48 | $50.12 |
Contra Costa Health Setting Professional Modifier None Typical Low $22.91 Median $28.18 Typical High $33.88 | Professional | None | $22.91 | $28.18 | $33.88 |
HealthNet Setting Professional Modifier None Typical Low $45.71 Median $218.78 Typical High $575.44 | Professional | None | $45.71 | $218.78 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.30 Median $33.88 Typical High $66.07 | Professional | None | $26.30 | $33.88 | $66.07 |
Lucent Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $60.26 Typical High $60.26 | Professional | None | $30.90 | $60.26 | $60.26 |
Optum Setting Professional Modifier None Typical Low $30.90 Median $33.11 Typical High $38.02 | Professional | None | $30.90 | $33.11 | $38.02 |
Providence Setting Facility Modifier None Typical Low $30.20 Median $38.90 Typical High $47.86 | Facility | None | $30.20 | $38.90 | $47.86 |
Providence Setting Professional Modifier None Typical Low $30.90 Median $35.48 Typical High $50.12 | Professional | None | $30.90 | $35.48 | $50.12 |
United Setting Professional Modifier None Typical Low $25.12 Median $32.36 Typical High $51.29 | Professional | None | $25.12 | $32.36 | $51.29 |
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 Facility Modifier 52 · Reduced service Typical Low $14.45 Median $15.85 Typical High $16.98 | Facility | 52 · Reduced service | $14.45 | $15.85 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $15.14 Typical High $16.60 | Professional | 52 · Reduced service | $13.80 | $15.14 | $16.60 |
Where California sits
The same service costs 2.5 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· 28th of 51
$31.62
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.