How much rates vary
Facilitymedian $631 · 10th to 90th $251 to $2,399Professionalmedian $380 · 10th to 90th $148 to $2,239
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 $245.47 Median $645.65 Typical High $1,548.82 | Facility | None | $245.47 | $645.65 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $251.19 Typical High $251.19 | Professional | None | $223.87 | $251.19 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $363.08 Median $524.81 Typical High $1,445.44 | Facility | None | $363.08 | $524.81 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $147.91 Median $446.68 Typical High $1,258.93 | Professional | None | $147.91 | $446.68 | $1,258.93 |
Blue Shield Setting Facility Modifier None Typical Low $389.05 Median $1,698.24 Typical High $3,235.94 | Facility | None | $389.05 | $1,698.24 | $3,235.94 |
Blue Shield Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $512.86 | Professional | None | $134.90 | $190.55 | $512.86 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $398.11 | Professional | None | $234.42 | $263.03 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $537.03 Typical High $1,000.00 | Facility | None | $208.93 | $537.03 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $323.59 Typical High $1,445.44 | Professional | None | $158.49 | $323.59 | $1,445.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $234.42 Median $323.59 Typical High $398.11 | Professional | None | $234.42 | $323.59 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $338.84 Typical High $794.33 | Professional | None | $269.15 | $338.84 | $794.33 |
Lucent Health Setting Professional Modifier None Typical Low $1,479.11 Median $2,238.72 Typical High $2,238.72 | Professional | None | $1,479.11 | $2,238.72 | $2,238.72 |
Molina Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Providence Setting Facility Modifier None Typical Low $239.88 Median $398.11 Typical High $912.01 | Facility | None | $239.88 | $398.11 | $912.01 |
Providence Setting Professional Modifier None Typical Low $158.49 Median $346.74 Typical High $1,445.44 | Professional | None | $158.49 | $346.74 | $1,445.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $295.12 | Facility | None | $123.03 | $123.03 | $295.12 |
United Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $1,318.26 | Professional | None | $123.03 | $177.83 | $1,318.26 |
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 $123.03 Median $323.59 Typical High $758.58 | Facility | 52 · Reduced service | $123.03 | $323.59 | $758.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $128.82 Typical High $309.03 | Facility | 53 · Discontinued | $48.98 | $128.82 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $112.20 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $44.67 | $50.12 | $50.12 |
Where California sits
The same service costs 3.8 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
$447
AK $661AL $174
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.