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 $162.18 Median $165.96 Typical High $190.55 | Facility | None | $162.18 | $165.96 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $181.97 Typical High $204.17 | Professional | None | $162.18 | $181.97 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $426.58 Typical High $1,737.80 | Facility | None | $338.84 | $426.58 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $338.84 Typical High $426.58 | Professional | None | $177.83 | $338.84 | $426.58 |
Blue Shield Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $239.88 | Professional | None | $141.25 | $199.53 | $239.88 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $162.18 Median $194.98 Typical High $213.80 | Professional | None | $162.18 | $194.98 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $190.55 Typical High $346.74 | Professional | None | $165.96 | $190.55 | $346.74 |
Lucent Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,479.11 | Professional | None | $1,174.90 | $1,174.90 | $1,479.11 |
Providence Setting Facility Modifier None Typical Low $165.96 Median $234.42 Typical High $363.08 | Facility | None | $165.96 | $234.42 | $363.08 |
Providence Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Sutter Health Plus Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
United Setting Professional Modifier None Typical Low $147.91 Median $194.98 Typical High $295.12 | Professional | None | $147.91 | $194.98 | $295.12 |
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 $67.61 Median $83.18 Typical High $95.50 | Professional | 52 · Reduced service | $67.61 | $83.18 | $95.50 |
Where California sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 18th of 51
$209
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.