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 $489.78 Median $524.81 Typical High $549.54 | Facility | None | $489.78 | $524.81 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $537.03 Typical High $741.31 | Professional | None | $489.78 | $537.03 | $741.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $724.44 Typical High $3,019.95 | Facility | None | $575.44 | $724.44 | $3,019.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $588.84 Typical High $891.25 | Professional | None | $512.86 | $588.84 | $891.25 |
Blue Shield Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $676.08 | Professional | None | $380.19 | $549.54 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $588.84 Typical High $870.96 | Professional | None | $512.86 | $588.84 | $870.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $302.00 Median $524.81 Typical High $575.44 | Professional | None | $302.00 | $524.81 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $512.86 Typical High $1,096.48 | Professional | None | $446.68 | $512.86 | $1,096.48 |
Lucent Health Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | None | $5,128.61 | $5,128.61 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Providence Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $1,122.02 | Facility | None | $489.78 | $691.83 | $1,122.02 |
Providence Setting Professional Modifier None Typical Low $512.86 Median $575.44 Typical High $851.14 | Professional | None | $512.86 | $575.44 | $851.14 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
United Setting Professional Modifier None Typical Low $426.58 Median $562.34 Typical High $870.96 | Professional | None | $426.58 | $562.34 | $870.96 |
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 GC · Resident with teaching physician Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | GC · Resident with teaching physician | $1,174.90 | $1,174.90 | $1,174.90 |
Where California sits
The same service costs 3.0 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· 29th of 51
$575
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.