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 $19.50 Median $22.91 Typical High $26.30 | Facility | None | $19.50 | $22.91 | $26.30 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $9.77 Median $10.72 Typical High $12.88 | Facility | 52 · Reduced service | $9.77 | $10.72 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $21.38 Typical High $34.67 | Professional | None | $19.50 | $21.38 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $10.72 Typical High $12.88 | Professional | 52 · Reduced service | $9.77 | $10.72 | $12.88 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $37.15 | Professional | None | $25.12 | $31.62 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $36.31 Typical High $151.36 | Facility | None | $28.84 | $36.31 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $32.36 Typical High $57.54 | Professional | None | $21.88 | $32.36 | $57.54 |
Blue Shield Setting Facility Modifier None Typical Low $56.23 Median $81.28 Typical High $269.15 | Facility | None | $56.23 | $81.28 | $269.15 |
Blue Shield Setting Professional Modifier None Typical Low $18.20 Median $25.12 Typical High $28.84 | Professional | None | $18.20 | $25.12 | $28.84 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $26.92 Median $33.11 Typical High $45.71 | Professional | None | $26.92 | $33.11 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $33.11 | Professional | None | $27.54 | $27.54 | $33.11 |
Contra Costa Health Setting Professional Modifier None Typical Low $22.39 Median $32.36 Typical High $44.67 | Professional | None | $22.39 | $32.36 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $27.54 Typical High $37.15 | Professional | None | $20.89 | $27.54 | $37.15 |
Lucent Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $288.40 | Professional | None | $186.21 | $186.21 | $288.40 |
Molina Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $36.31 | Professional | None | $21.88 | $21.88 | $36.31 |
Providence Setting Facility Modifier None Typical Low $19.50 Median $30.20 Typical High $44.67 | Facility | None | $19.50 | $30.20 | $44.67 |
Providence Setting Professional Modifier None Typical Low $26.92 Median $27.54 Typical High $48.98 | Professional | None | $26.92 | $27.54 | $48.98 |
Sutter Health Plus Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $85.11 | Professional | None | $75.86 | $75.86 | $85.11 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $257.04 | Facility | None | $165.96 | $165.96 | $257.04 |
United Setting Professional Modifier None Typical Low $18.62 Median $25.70 Typical High $58.88 | Professional | None | $18.62 | $25.70 | $58.88 |
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 $28.84 Median $33.11 Typical High $34.67 | Professional | 59 · Distinct service | $28.84 | $33.11 | $34.67 |
Where California sits
The same service costs 2.7 times more in North Dakota than in Kentucky. 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
$25.70
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.