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 $57.54 Median $63.10 Typical High $69.18 | Facility | None | $57.54 | $63.10 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $67.61 | Professional | None | $57.54 | $63.10 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $63.10 Median $79.43 Typical High $323.59 | Facility | None | $63.10 | $79.43 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $79.43 | Professional | None | $57.54 | $67.61 | $79.43 |
Blue Shield Setting Professional Modifier None Typical Low $46.77 Median $66.07 Typical High $75.86 | Professional | None | $46.77 | $66.07 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $57.54 Median $77.62 Typical High $85.11 | Professional | None | $57.54 | $77.62 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $67.61 Typical High $104.71 | Professional | None | $51.29 | $67.61 | $104.71 |
Lucent Health Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $549.54 | Professional | None | $407.38 | $549.54 | $549.54 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $77.62 Typical High $97.72 | Facility | None | $61.66 | $77.62 | $97.72 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Sutter Health Plus Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $213.80 | Professional | None | $199.53 | $199.53 | $213.80 |
United Setting Professional Modifier None Typical Low $46.77 Median $61.66 Typical High $97.72 | Professional | None | $46.77 | $61.66 | $97.72 |
2 more rates 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 Facility Modifier 52 · Reduced service Typical Low $28.84 Median $31.62 Typical High $34.67 | Facility | 52 · Reduced service | $28.84 | $31.62 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $30.90 Typical High $33.88 | Professional | 52 · Reduced service | $26.92 | $30.90 | $33.88 |
Where California sits
The same service costs 2.8 times more in Alaska than in Alabama. 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· 25th of 51
$64.57
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.