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 $69.18 Median $69.18 Typical High $346.74 | Facility | None | $69.18 | $69.18 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.03 Median $75.86 Typical High $83.18 | Facility | None | $0.03 | $75.86 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $134.90 | Professional | None | $70.79 | $70.79 | $134.90 |
Blue Shield Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $131.83 | Professional | None | $39.81 | $57.54 | $131.83 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $52.48 | Professional | None | $34.67 | $34.67 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $218.78 | Facility | None | $70.79 | $141.25 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Contra Costa Health Setting Professional Modifier None Typical Low $34.67 Median $79.43 Typical High $95.50 | Professional | None | $34.67 | $79.43 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $407.38 | Professional | None | $79.43 | $79.43 | $407.38 |
Lucent Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $537.03 | Professional | None | $426.58 | $426.58 | $537.03 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $100.00 Typical High $190.55 | Facility | None | $69.18 | $100.00 | $190.55 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $79.43 | Professional | None | $70.79 | $70.79 | $79.43 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $218.78 | Professional | None | $79.43 | $79.43 | $218.78 |
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 Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.80 | $13.80 | $13.80 |
Where California sits
The same service costs 2.5 times more in Kansas than in Indiana. 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· 32nd of 51
$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.