How much rates vary
Facilitymedian $372 · 10th to 90th $79 to $4,074Professionalmedian $65 · 10th to 90th $25 to $186
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 $28.84 Median $79.43 Typical High $117.49 | Facility | None | $28.84 | $79.43 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $81.28 Typical High $134.90 | Professional | None | $26.92 | $81.28 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $12.88 Median $72.44 Typical High $72.44 | Professional | None | $12.88 | $72.44 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $9,549.93 | Facility | None | $2,137.96 | $4,786.30 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $29.51 Median $30.20 Typical High $190.55 | Professional | None | $29.51 | $30.20 | $190.55 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $416.87 Typical High $1,479.11 | Facility | None | $95.50 | $416.87 | $1,479.11 |
Blue Shield Setting Professional Modifier None Typical Low $23.99 Median $63.10 Typical High $109.65 | Professional | None | $23.99 | $63.10 | $109.65 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $28.84 Median $102.33 Typical High $131.83 | Professional | None | $28.84 | $102.33 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $107.15 Typical High $676.08 | Facility | None | $61.66 | $107.15 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $60.26 Typical High $141.25 | Professional | None | $13.18 | $60.26 | $141.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $25.70 Median $77.62 Typical High $123.03 | Professional | None | $25.70 | $77.62 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.44 Median $85.11 Typical High $165.96 | Professional | None | $23.44 | $85.11 | $165.96 |
Lucent Health Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $707.95 | Professional | None | $630.96 | $630.96 | $707.95 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $120.23 | Professional | None | $72.44 | $72.44 | $120.23 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $50.12 Median $107.15 Typical High $676.08 | Facility | None | $50.12 | $107.15 | $676.08 |
Providence Setting Professional Modifier None Typical Low $13.18 Median $60.26 Typical High $120.23 | Professional | None | $13.18 | $60.26 | $120.23 |
Sutter Health Plus Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $302.00 | Professional | None | $91.20 | $91.20 | $302.00 |
United Setting Facility Modifier None Typical Low $123.03 Median $489.78 Typical High $3,090.30 | Facility | None | $123.03 | $489.78 | $3,090.30 |
United Setting Professional Modifier None Typical Low $21.38 Median $69.18 Typical High $144.54 | Professional | None | $21.38 | $69.18 | $144.54 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 50 · Both sides | $114.82 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $37.15 Median $109.65 Typical High $151.36 | Professional | 50 · Both sides | $37.15 | $109.65 | $151.36 |
Where California sits
The same service costs 4.2 times more in Alaska than in Virginia. 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· 31st of 51
$69.18
AK $145VA $34.67
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.