How much rates vary
Facilitymedian $1,380 · 10th to 90th $417 to $3,981Professionalmedian $339 · 10th to 90th $234 to $1,230
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 $389.05 Median $1,000.00 Typical High $2,398.83 | Facility | None | $389.05 | $1,000.00 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $691.83 | Professional | None | $346.74 | $398.11 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $1,445.44 Typical High $3,981.07 | Facility | None | $977.24 | $1,445.44 | $3,981.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $323.59 Typical High $1,047.13 | Professional | None | $257.04 | $323.59 | $1,047.13 |
Blue Shield Setting Facility Modifier None Typical Low $616.60 Median $2,691.53 Typical High $5,011.87 | Facility | None | $616.60 | $2,691.53 | $5,011.87 |
Blue Shield Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $537.03 | Professional | None | $204.17 | $295.12 | $537.03 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $416.87 Median $645.65 Typical High $724.44 | Professional | None | $416.87 | $645.65 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,202.26 Typical High $2,570.40 | Facility | None | $398.11 | $1,202.26 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $426.58 Typical High $1,230.27 | Professional | None | $181.97 | $426.58 | $1,230.27 |
Contra Costa Health Setting Professional Modifier None Typical Low $371.54 Median $891.25 Typical High $891.25 | Professional | None | $371.54 | $891.25 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $831.76 Typical High $2,137.96 | Professional | None | $645.65 | $831.76 | $2,137.96 |
Molina Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $794.33 | Professional | None | $398.11 | $398.11 | $794.33 |
Providence Setting Facility Modifier None Typical Low $398.11 Median $794.33 Typical High $2,089.30 | Facility | None | $398.11 | $794.33 | $2,089.30 |
Providence Setting Professional Modifier None Typical Low $181.97 Median $426.58 Typical High $1,584.89 | Professional | None | $181.97 | $426.58 | $1,584.89 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $794.33 | Facility | None | $338.84 | $338.84 | $794.33 |
United Setting Professional Modifier None Typical Low $194.98 Median $363.08 Typical High $1,862.09 | Professional | None | $194.98 | $363.08 | $1,862.09 |
4 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 $190.55 Median $501.19 Typical High $1,202.26 | Facility | 52 · Reduced service | $190.55 | $501.19 | $1,202.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $77.62 Median $199.53 Typical High $478.63 | Facility | 53 · Discontinued | $77.62 | $199.53 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $194.98 Typical High $346.74 | Professional | 52 · Reduced service | $173.78 | $194.98 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $79.43 Typical High $138.04 | Professional | 53 · Discontinued | $69.18 | $79.43 | $138.04 |
Where California sits
The same service costs 11.0 times more in Alaska than in Alabama. 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· 44th of 51
$468
AK $1,820AL $166
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.