How much rates vary
Facilitymedian $832 · 10th to 90th $398 to $2,089Professionalmedian $562 · 10th to 90th $234 to $3,548
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 $1,023.29 Typical High $2,398.83 | Facility | None | $389.05 | $1,023.29 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $398.11 | Professional | None | $354.81 | $398.11 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $831.76 Typical High $2,290.87 | Facility | None | $575.44 | $831.76 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $645.65 Typical High $1,995.26 | Professional | None | $234.42 | $645.65 | $1,995.26 |
Blue Shield Setting Facility Modifier None Typical Low $338.84 Median $891.25 Typical High $1,380.38 | Facility | None | $338.84 | $891.25 | $1,380.38 |
Blue Shield Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $812.83 | Professional | None | $213.80 | $302.00 | $812.83 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $371.54 Median $416.87 Typical High $630.96 | Professional | None | $371.54 | $416.87 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $831.76 Typical High $1,548.82 | Facility | None | $331.13 | $831.76 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $501.19 Typical High $2,290.87 | Professional | None | $251.19 | $501.19 | $2,290.87 |
Contra Costa Health Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $630.96 | Professional | None | $371.54 | $512.86 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $1,258.93 | Professional | None | $416.87 | $537.03 | $1,258.93 |
Lucent Health Setting Professional Modifier None Typical Low $2,344.23 Median $3,548.13 Typical High $3,548.13 | Professional | None | $2,344.23 | $3,548.13 | $3,548.13 |
Providence Setting Facility Modifier None Typical Low $371.54 Median $630.96 Typical High $1,445.44 | Facility | None | $371.54 | $630.96 | $1,445.44 |
Providence Setting Professional Modifier None Typical Low $251.19 Median $524.81 Typical High $2,290.87 | Professional | None | $251.19 | $524.81 | $2,290.87 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
United Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $467.74 | Facility | None | $194.98 | $194.98 | $467.74 |
United Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $2,041.74 | Professional | None | $194.98 | $281.84 | $2,041.74 |
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 $194.98 Median $501.19 Typical High $1,202.26 | Facility | 52 · Reduced service | $194.98 | $501.19 | $1,202.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $77.62 Median $204.17 Typical High $489.78 | Facility | 53 · Discontinued | $77.62 | $204.17 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $173.78 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $70.79 | $79.43 | $79.43 |
Where California sits
The same service costs 3.7 times more in Alaska 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.
California· 6th of 51
$617
AK $1,047DE $282
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.