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 $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None (both parts) | $10.00 | $10.00 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $100.00 Typical High $407.38 | Facility | None | $77.62 | $100.00 | $407.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $79.43 Typical High $85.11 | Professional | None (both parts) | $33.11 | $79.43 | $85.11 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $66.07 | Professional | None (both parts) | $53.70 | $53.70 | $66.07 |
Providence Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $14.45 | Facility | None | $10.00 | $10.00 | $14.45 |
Providence Setting Professional Modifier None (both parts) Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None (both parts) | $10.00 | $10.00 | $10.00 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $38.90 | $38.90 | $38.90 |
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 |
|---|---|---|---|---|---|
Cigna Setting Facility Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Where California sits
The same service costs 10.2 times more in Arizona than in New Jersey. 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· 4th of 50
$70.79
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.