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 $66.07 Median $72.44 Typical High $72.44 | Facility | None | $66.07 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $72.44 Typical High $125.89 | Professional | None | $63.10 | $72.44 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $75.86 Typical High $147.91 | Professional | None | $51.29 | $75.86 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $131.83 Typical High $549.54 | Facility | None | $104.71 | $131.83 | $549.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $107.15 Typical High $125.89 | Professional | None | $64.57 | $107.15 | $125.89 |
Blue Shield Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $89.13 | Professional | None | $53.70 | $75.86 | $89.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $102.33 | Professional | None | $79.43 | $79.43 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $138.04 | Professional | None | $69.18 | $93.33 | $138.04 |
Contra Costa Health Setting Professional Modifier None Typical Low $63.10 Median $79.43 Typical High $102.33 | Professional | None | $63.10 | $79.43 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $128.82 | Professional | None | $64.57 | $81.28 | $128.82 |
Lucent Health Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Molina Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $102.33 | Professional | None | $61.66 | $69.18 | $102.33 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $91.20 Typical High $112.20 | Facility | None | $69.18 | $91.20 | $112.20 |
Providence Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $144.54 | Professional | None | $72.44 | $89.13 | $144.54 |
Sutter Health Plus Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
United Setting Professional Modifier None Typical Low $56.23 Median $72.44 Typical High $117.49 | Professional | None | $56.23 | $72.44 | $117.49 |
3 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 $33.11 Median $35.48 Typical High $36.31 | Facility | 52 · Reduced service | $33.11 | $35.48 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $33.11 Typical High $36.31 | Professional | 52 · Reduced service | $30.90 | $33.11 | $36.31 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 33 · Preventive service | $67.61 | $67.61 | $67.61 |
Where California sits
The same service costs 3.0 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· 22nd of 51
$79.43
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.