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 $56.23 Median $63.10 Typical High $66.07 | Facility | None | $56.23 | $63.10 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $66.07 | Professional | None | $53.70 | $56.23 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $91.20 Typical High $380.19 | Facility | None | $72.44 | $91.20 | $380.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $114.82 | Professional | None | $60.26 | $74.13 | $114.82 |
Blue Shield Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $79.43 | Professional | None | $45.71 | $66.07 | $79.43 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $104.71 | Professional | None | $61.66 | $72.44 | $104.71 |
Contra Costa Health Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $66.07 | Professional | None | $54.95 | $54.95 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $234.42 Typical High $831.76 | Professional | None | $117.49 | $234.42 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Providence Setting Facility Modifier None Typical Low $56.23 Median $81.28 Typical High $123.03 | Facility | None | $56.23 | $81.28 | $123.03 |
Providence Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $104.71 | Professional | None | $61.66 | $72.44 | $104.71 |
United Setting Professional Modifier None Typical Low $51.29 Median $67.61 Typical High $107.15 | Professional | None | $51.29 | $67.61 | $107.15 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $28.18 Typical High $33.11 | Professional | 52 · Reduced service | $26.92 | $28.18 | $33.11 |
Where California sits
The same service costs 2.8 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· 24th of 51
$72.44
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.