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 $794.33 Median $870.96 Typical High $912.01 | Facility | None | $794.33 | $870.96 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,230.27 | Professional | None | $741.31 | $870.96 | $1,230.27 |
Ambetter Setting Professional Modifier None Typical Low $229.09 Median $1,047.13 Typical High $2,089.30 | Professional | None | $229.09 | $1,047.13 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,202.26 Typical High $5,011.87 | Facility | None | $954.99 | $1,202.26 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $977.24 Typical High $1,479.11 | Professional | None | $794.33 | $977.24 | $1,479.11 |
Blue Shield Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $1,096.48 | Professional | None | $630.96 | $891.25 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,412.54 | Professional | None | $851.14 | $954.99 | $1,412.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $302.00 Median $870.96 Typical High $954.99 | Professional | None | $302.00 | $870.96 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $1,778.28 | Professional | None | $724.44 | $831.76 | $1,778.28 |
Lucent Health Setting Professional Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Professional | None | $8,128.31 | $8,128.31 | $8,128.31 |
Molina Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $1,148.15 Typical High $1,819.70 | Facility | None | $794.33 | $1,148.15 | $1,819.70 |
Providence Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $1,380.38 | Professional | None | $851.14 | $933.25 | $1,380.38 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
United Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,412.54 | Professional | None | $707.95 | $891.25 | $1,412.54 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $776.25 Median $776.25 Typical High $1,047.13 | Professional | 25 · Same-day visit | $776.25 | $776.25 | $1,047.13 |
Where California sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 30th of 51
$955
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.