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 $81.28 Median $83.18 Typical High $93.33 | Facility | None | $81.28 | $83.18 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $93.33 | Professional | None | $67.61 | $83.18 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $117.49 Typical High $478.63 | Facility | None | $93.33 | $117.49 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $97.72 Typical High $380.19 | Professional | None | $93.33 | $97.72 | $380.19 |
Blue Shield Setting Professional Modifier None Typical Low $398.11 Median $575.44 Typical High $660.69 | Professional | None | $398.11 | $575.44 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Contra Costa Health Setting Professional Modifier None Typical Low $95.50 Median $104.71 Typical High $128.82 | Professional | None | $95.50 | $104.71 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $199.53 | Professional | None | $81.28 | $91.20 | $199.53 |
Lucent Health Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $741.31 | Professional | None | $588.84 | $588.84 | $741.31 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $117.49 Typical High $177.83 | Facility | None | $83.18 | $117.49 | $177.83 |
Providence Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | None | $81.28 | $81.28 | $87.10 |
Sutter Health Plus Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
United Setting Professional Modifier None Typical Low $74.13 Median $112.20 Typical High $181.97 | Professional | None | $74.13 | $112.20 | $181.97 |
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 Professional Modifier 52 · Reduced service Typical Low $33.88 Median $41.69 Typical High $46.77 | Professional | 52 · Reduced service | $33.88 | $41.69 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $16.60 Typical High $18.62 | Professional | 53 · Discontinued | $13.49 | $16.60 | $18.62 |
Where California sits
The same service costs 2.2 times more in Nebraska 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· 2nd of 51
$178
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.