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 $26.92 Median $28.18 Typical High $33.11 | Facility | None | $26.92 | $28.18 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $28.18 Typical High $34.67 | Professional | None | $22.91 | $28.18 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $45.71 Typical High $190.55 | Facility | None | $36.31 | $45.71 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $29.51 Median $38.02 Typical High $79.43 | Professional | None | $29.51 | $38.02 | $79.43 |
Blue Shield Setting Facility Modifier None Typical Low $43.65 Median $75.86 Typical High $134.90 | Facility | None | $43.65 | $75.86 | $134.90 |
Blue Shield Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $37.15 | Professional | None | $23.44 | $33.11 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $38.90 | Professional | None | $34.67 | $34.67 | $38.90 |
Contra Costa Health Setting Professional Modifier None Typical Low $30.90 Median $35.48 Typical High $47.86 | Professional | None | $30.90 | $35.48 | $47.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $29.51 Typical High $39.81 | Professional | None | $22.91 | $29.51 | $39.81 |
Lucent Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Providence Setting Facility Modifier None Typical Low $26.92 Median $38.02 Typical High $61.66 | Facility | None | $26.92 | $38.02 | $61.66 |
Providence Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $60.26 | Professional | None | $29.51 | $34.67 | $60.26 |
Sutter Health Plus Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $117.49 | Professional | None | $107.15 | $107.15 | $117.49 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $95.50 | Facility | None | $61.66 | $61.66 | $95.50 |
United Setting Professional Modifier None Typical Low $25.70 Median $33.88 Typical High $72.44 | Professional | None | $25.70 | $33.88 | $72.44 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $30.90 Median $30.90 Typical High $35.48 | Professional | 59 · Distinct service | $30.90 | $30.90 | $35.48 |
Where California sits
The same service costs 2.4 times more in Alaska than in Louisiana. 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· 34th of 51
$32.36
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.