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 $158.49 Median $177.83 Typical High $257.04 | Facility | None | $158.49 | $177.83 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $346.74 | Professional | None | $158.49 | $218.78 | $346.74 |
Ambetter Setting Professional Modifier None Typical Low $281.84 Median $309.03 Typical High $316.23 | Professional | None | $281.84 | $309.03 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $199.53 Median $251.19 Typical High $1,047.13 | Facility | None | $199.53 | $251.19 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $257.04 Typical High $316.23 | Professional | None | $204.17 | $257.04 | $316.23 |
Blue Shield Setting Facility Modifier None Typical Low $66.07 Median $213.80 Typical High $269.15 | Facility | None | $66.07 | $213.80 | $269.15 |
Blue Shield Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $275.42 | Professional | None | $134.90 | $190.55 | $275.42 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $407.38 | Professional | None | $213.80 | $295.12 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $331.13 | Professional | None | $169.82 | $223.87 | $331.13 |
Contra Costa Health Setting Professional Modifier None Typical Low $190.55 Median $245.47 Typical High $398.11 | Professional | None | $190.55 | $245.47 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $288.40 Typical High $436.52 | Professional | None | $169.82 | $288.40 | $436.52 |
Lucent Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $269.15 | Professional | None | $33.11 | $33.11 | $269.15 |
Providence Setting Facility Modifier None Typical Low $204.17 Median $281.84 Typical High $416.87 | Facility | None | $204.17 | $281.84 | $416.87 |
Providence Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $331.13 | Professional | None | $165.96 | $223.87 | $331.13 |
Sutter Health Plus Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $691.83 | Professional | None | $467.74 | $467.74 | $691.83 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $257.04 | Facility | None | $165.96 | $165.96 | $257.04 |
United Setting Professional Modifier None Typical Low $144.54 Median $223.87 Typical High $380.19 | Professional | None | $144.54 | $223.87 | $380.19 |
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 $79.43 Median $89.13 Typical High $128.82 | Facility | 52 · Reduced service | $79.43 | $89.13 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $97.72 Typical High $123.03 | Professional | 52 · Reduced service | $79.43 | $97.72 | $123.03 |
Where California sits
The same service costs 2.7 times more in Alaska than in Alabama. 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· 39th of 51
$219
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.