How much rates vary
Facilitymedian $676 · 10th to 90th $275 to $2,630Professionalmedian $479 · 10th to 90th $158 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 $275.42 Median $707.95 Typical High $1,698.24 | Facility | None | $275.42 | $707.95 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $281.84 Typical High $281.84 | Professional | None | $245.47 | $281.84 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $537.03 Typical High $1,479.11 | Facility | None | $371.54 | $537.03 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $575.44 Typical High $1,258.93 | Professional | None | $165.96 | $575.44 | $1,258.93 |
Blue Shield Setting Facility Modifier None Typical Low $436.52 Median $1,905.46 Typical High $3,548.13 | Facility | None | $436.52 | $1,905.46 | $3,548.13 |
Blue Shield Setting Professional Modifier None Typical Low $151.36 Median $213.80 Typical High $562.34 | Professional | None | $151.36 | $213.80 | $562.34 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $407.38 | Professional | None | $239.88 | $269.15 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $537.03 Typical High $1,000.00 | Facility | None | $245.47 | $537.03 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $331.13 Typical High $1,479.11 | Professional | None | $169.82 | $331.13 | $1,479.11 |
Contra Costa Health Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $407.38 | Professional | None | $239.88 | $331.13 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $331.13 Typical High $794.33 | Professional | None | $269.15 | $331.13 | $794.33 |
Lucent Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,238.72 | Professional | None | $1,513.56 | $1,513.56 | $2,238.72 |
Molina Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Providence Setting Facility Modifier None Typical Low $275.42 Median $398.11 Typical High $912.01 | Facility | None | $275.42 | $398.11 | $912.01 |
Providence Setting Professional Modifier None Typical Low $169.82 Median $354.81 Typical High $1,479.11 | Professional | None | $169.82 | $354.81 | $1,479.11 |
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 $125.89 Median $125.89 Typical High $302.00 | Facility | None | $125.89 | $125.89 | $302.00 |
United Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $1,174.90 | Professional | None | $125.89 | $181.97 | $1,174.90 |
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 $138.04 Median $354.81 Typical High $851.14 | Facility | 52 · Reduced service | $138.04 | $354.81 | $851.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $54.95 Median $141.25 Typical High $338.84 | Facility | 53 · Discontinued | $54.95 | $141.25 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $123.03 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $48.98 | $56.23 | $56.23 |
Where California sits
The same service costs 3.9 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
$513
AK $676AL $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.