How much rates vary
Facilitymedian $331 · 10th to 90th $158 to $813Professionalmedian $219 · 10th to 90th $93 to $1,380
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 $154.88 Median $398.11 Typical High $954.99 | Facility | None | $154.88 | $398.11 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $158.49 Typical High $158.49 | Professional | None | $138.04 | $158.49 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $331.13 Typical High $912.01 | Facility | None | $229.09 | $331.13 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $257.04 Typical High $776.25 | Professional | None | $93.33 | $257.04 | $776.25 |
Blue Shield Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $549.54 | Facility | None | $134.90 | $346.74 | $549.54 |
Blue Shield Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $316.23 | Professional | None | $85.11 | $120.23 | $316.23 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $251.19 | Professional | None | $147.91 | $165.96 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $331.13 Typical High $616.60 | Facility | None | $131.83 | $331.13 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $199.53 Typical High $912.01 | Professional | None | $97.72 | $199.53 | $912.01 |
Contra Costa Health Setting Professional Modifier None Typical Low $147.91 Median $204.17 Typical High $251.19 | Professional | None | $147.91 | $204.17 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $489.78 | Professional | None | $165.96 | $213.80 | $489.78 |
Lucent Health Setting Professional Modifier None Typical Low $933.25 Median $1,380.38 Typical High $1,380.38 | Professional | None | $933.25 | $1,380.38 | $1,380.38 |
Providence Setting Facility Modifier None Typical Low $147.91 Median $245.47 Typical High $562.34 | Facility | None | $147.91 | $245.47 | $562.34 |
Providence Setting Professional Modifier None Typical Low $100.00 Median $208.93 Typical High $912.01 | Professional | None | $100.00 | $208.93 | $912.01 |
Sutter Health Plus Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $186.21 | Facility | None | $77.62 | $77.62 | $186.21 |
United Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $812.83 | Professional | None | $77.62 | $112.20 | $812.83 |
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 $77.62 Median $199.53 Typical High $478.63 | Facility | 52 · Reduced service | $77.62 | $199.53 | $478.63 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.90 Median $79.43 Typical High $190.55 | Facility | 53 · Discontinued | $30.90 | $79.43 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $69.18 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $27.54 | $31.62 | $31.62 |
Where California sits
The same service costs 4.5 times more in Texas 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
$245
TX $501DE $112
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.