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 $28.18 Median $29.51 Typical High $33.11 | Facility | None | $28.18 | $29.51 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $31.62 Typical High $44.67 | Professional | None | $28.18 | $31.62 | $44.67 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $33.11 Typical High $57.54 | Professional | None | $27.54 | $33.11 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $38.02 Typical High $154.88 | Facility | None | $29.51 | $38.02 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $30.90 Typical High $38.02 | Professional | None | $28.84 | $30.90 | $38.02 |
Blue Shield Setting Professional Modifier None Typical Low $22.39 Median $31.62 Typical High $36.31 | Professional | None | $22.39 | $31.62 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Contra Costa Health Setting Professional Modifier None Typical Low $30.90 Median $39.81 Typical High $43.65 | Professional | None | $30.90 | $39.81 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $35.48 Typical High $54.95 | Professional | None | $27.54 | $35.48 | $54.95 |
Lucent Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $288.40 | Professional | None | $204.17 | $204.17 | $288.40 |
Molina Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $31.62 | Professional | None | $19.05 | $19.05 | $31.62 |
Optum Setting Professional Modifier None Typical Low $36.31 Median $38.02 Typical High $38.02 | Professional | None | $36.31 | $38.02 | $38.02 |
Providence Setting Facility Modifier None Typical Low $29.51 Median $38.90 Typical High $47.86 | Facility | None | $29.51 | $38.90 | $47.86 |
Providence Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $52.48 | Professional | None | $25.12 | $33.11 | $52.48 |
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 $13.80 Median $14.79 Typical High $16.60 | Facility | 52 · Reduced service | $13.80 | $14.79 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $14.45 Typical High $16.60 | Professional | 52 · Reduced service | $13.80 | $14.45 | $16.60 |
Where California sits
The same service costs 3.1 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· 35th of 51
$31.62
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.