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 $58.88 Typical High $69.18 | Facility | None | $56.23 | $58.88 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $69.18 | Professional | None | $46.77 | $56.23 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $93.33 Typical High $380.19 | Facility | None | $74.13 | $93.33 | $380.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $75.86 Typical High $158.49 | Professional | None | $57.54 | $75.86 | $158.49 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $169.82 Typical High $302.00 | Facility | None | $97.72 | $169.82 | $302.00 |
Blue Shield Setting Professional Modifier None Typical Low $50.12 Median $69.18 Typical High $75.86 | Professional | None | $50.12 | $69.18 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $72.44 | Professional | None | $63.10 | $63.10 | $72.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $60.26 Median $67.61 Typical High $87.10 | Professional | None | $60.26 | $67.61 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $72.44 | Professional | None | $43.65 | $54.95 | $72.44 |
Lucent Health Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Providence Setting Facility Modifier None Typical Low $56.23 Median $79.43 Typical High $123.03 | Facility | None | $56.23 | $79.43 | $123.03 |
Providence Setting Professional Modifier None Typical Low $54.95 Median $63.10 Typical High $100.00 | Professional | None | $54.95 | $63.10 | $100.00 |
Sutter Health Plus Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $218.78 | Professional | None | $208.93 | $208.93 | $218.78 |
United Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $446.68 | Facility | None | $288.40 | $288.40 | $446.68 |
United Setting Professional Modifier None Typical Low $50.12 Median $66.07 Typical High $134.90 | Professional | None | $50.12 | $66.07 | $134.90 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 59 · Distinct service | $48.98 | $48.98 | $48.98 |
Where California sits
The same service costs 2.6 times more in Alaska than in Oklahoma. 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
$66.07
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.