How much rates vary
Facilitymedian $282 · 10th to 90th $112 to $1,202Professionalmedian $186 · 10th to 90th $69 to $912
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 $125.89 Median $323.59 Typical High $776.25 | Facility | None | $125.89 | $323.59 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $128.82 | Professional | None | $104.71 | $128.82 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $218.78 Typical High $602.56 | Facility | None | $151.36 | $218.78 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $218.78 Typical High $575.44 | Professional | None | $75.86 | $218.78 | $575.44 |
Blue Shield Setting Facility Modifier None Typical Low $199.53 Median $870.96 Typical High $1,621.81 | Facility | None | $199.53 | $870.96 | $1,621.81 |
Blue Shield Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $257.04 | Professional | None | $69.18 | $97.72 | $257.04 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $186.21 | Professional | None | $97.72 | $109.65 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $218.78 Typical High $436.52 | Facility | None | $102.33 | $218.78 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $144.54 Typical High $616.60 | Professional | None | $75.86 | $144.54 | $616.60 |
Contra Costa Health Setting Professional Modifier None Typical Low $109.65 Median $134.90 Typical High $165.96 | Professional | None | $109.65 | $134.90 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $323.59 | Professional | None | $109.65 | $141.25 | $323.59 |
Lucent Health Setting Professional Modifier None Typical Low $616.60 Median $912.01 Typical High $912.01 | Professional | None | $616.60 | $912.01 | $912.01 |
Molina Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Providence Setting Facility Modifier None Typical Low $112.20 Median $177.83 Typical High $398.11 | Facility | None | $112.20 | $177.83 | $398.11 |
Providence Setting Professional Modifier None Typical Low $75.86 Median $151.36 Typical High $616.60 | Professional | None | $75.86 | $151.36 | $616.60 |
Sutter Health Plus Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $123.03 | Facility | None | $51.29 | $51.29 | $123.03 |
United Setting Professional Modifier None Typical Low $51.29 Median $74.13 Typical High $478.63 | Professional | None | $51.29 | $74.13 | $478.63 |
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 $63.10 Median $162.18 Typical High $389.05 | Facility | 52 · Reduced service | $63.10 | $162.18 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $64.57 Typical High $154.88 | Facility | 53 · Discontinued | $25.12 | $64.57 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $52.48 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $20.89 | $25.70 | $25.70 |
Where California sits
The same service costs 4.4 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· 3rd of 51
$204
AK $275AL $63.10
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.