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 $169.82 Median $169.82 Typical High $194.98 | Facility | None | $169.82 | $169.82 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $288.40 | Professional | None | $169.82 | $190.55 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $436.52 Typical High $1,819.70 | Facility | None | $346.74 | $436.52 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $354.81 Typical High $436.52 | Professional | None | $173.78 | $354.81 | $436.52 |
Blue Shield Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $245.47 | Professional | None | $144.54 | $208.93 | $245.47 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Contra Costa Health Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $229.09 | Professional | None | $169.82 | $204.17 | $229.09 |
HealthNet Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $371.54 | Professional | None | $173.78 | $199.53 | $371.54 |
Lucent Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,548.82 | Professional | None | $1,288.25 | $1,288.25 | $1,548.82 |
Providence Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Sutter Health Plus Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
United Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $323.59 | Professional | None | $162.18 | $208.93 | $323.59 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $85.11 Typical High $97.72 | Professional | 52 · Reduced service | $72.44 | $85.11 | $97.72 |
Where California sits
The same service costs 3.6 times more in Alaska than in New York. 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· 21st of 51
$219
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.