How much rates vary
Facilitymedian $3,981 · 10th to 90th $513 to $12,589Professionalmedian $661 · 10th to 90th $389 to $1,950
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 $933.25 Median $8,128.31 Typical High $19,054.61 | Facility | None | $933.25 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $457.09 Typical High $616.60 | Professional | None | $436.52 | $457.09 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $6,606.93 Typical High $14,125.38 | Facility | None | $3,801.89 | $6,606.93 | $14,125.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $741.31 Typical High $1,737.80 | Professional | None | $562.34 | $741.31 | $1,737.80 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $79.43 Typical High $100.00 | Facility | None | $48.98 | $79.43 | $100.00 |
Blue Shield Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $933.25 | Professional | None | $338.84 | $478.63 | $933.25 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $691.83 | Professional | None | $363.08 | $436.52 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,174.90 Typical High $5,623.41 | Facility | None | $660.69 | $1,174.90 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $1,202.26 | Professional | None | $426.58 | $501.19 | $1,202.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $398.11 Median $436.52 Typical High $512.86 | Professional | None | $398.11 | $436.52 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $1,047.13 | Professional | None | $354.81 | $467.74 | $1,047.13 |
Lucent Health Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,897.79 | $4,897.79 | $4,897.79 |
Molina Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Providence Setting Facility Modifier None Typical Low $478.63 Median $912.01 Typical High $5,623.41 | Facility | None | $478.63 | $912.01 | $5,623.41 |
Providence Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $1,202.26 | Professional | None | $416.87 | $489.78 | $1,202.26 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
United Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $11,748.98 | Facility | None | $524.81 | $1,380.38 | $11,748.98 |
United Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $1,288.25 | Professional | None | $371.54 | $501.19 | $1,288.25 |
1 more rate 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 54 · Surgery only Typical Low $309.03 Median $346.74 Typical High $389.05 | Professional | 54 · Surgery only | $309.03 | $346.74 | $389.05 |
Where California sits
The same service costs 14.4 times more in Maine than in Delaware. 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.
Physician feeFacility fee
ME $15,115DE $1,050
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.