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 $69.18 Median $79.43 Typical High $91.20 | Facility | None | $69.18 | $79.43 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $91.20 | Professional | None | $66.07 | $79.43 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $77.62 Median $177.83 Typical High $177.83 | Professional | None | $77.62 | $177.83 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $109.65 Typical High $446.68 | Facility | None | $87.10 | $109.65 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $89.13 Typical High $138.04 | Professional | None | $77.62 | $89.13 | $138.04 |
Blue Shield Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $281.84 | Professional | None | $128.82 | $186.21 | $281.84 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $104.71 Median $302.00 Typical High $302.00 | Professional | None | $104.71 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Contra Costa Health Setting Professional Modifier None Typical Low $173.78 Median $275.42 Typical High $371.54 | Professional | None | $173.78 | $275.42 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $251.19 Median $288.40 Typical High $616.60 | Professional | None | $251.19 | $288.40 | $616.60 |
Lucent Health Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $851.14 | Professional | None | $676.08 | $851.14 | $851.14 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Providence Setting Facility Modifier None Typical Low $79.43 Median $100.00 Typical High $346.74 | Facility | None | $79.43 | $100.00 | $346.74 |
Providence Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
United Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $407.38 | Professional | None | $134.90 | $194.98 | $407.38 |
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 $33.11 Median $39.81 Typical High $45.71 | Professional | 52 · Reduced service | $33.11 | $39.81 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $15.85 Typical High $18.20 | Professional | 53 · Discontinued | $13.18 | $15.85 | $18.20 |
Where California sits
The same service costs 4.9 times more in Nebraska than in Florida. 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· 24th of 51
$132
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.