How much rates vary
Facilitymedian $1,445 · 10th to 90th $575 to $5,623Professionalmedian $891 · 10th to 90th $355 to $5,129
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 $588.84 Median $1,513.56 Typical High $3,630.78 | Facility | None | $588.84 | $1,513.56 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $602.56 Typical High $602.56 | Professional | None | $524.81 | $602.56 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,202.26 Typical High $3,311.31 | Facility | None | $831.76 | $1,202.26 | $3,311.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $1,047.13 Typical High $2,884.03 | Professional | None | $354.81 | $1,047.13 | $2,884.03 |
Blue Shield Setting Facility Modifier None Typical Low $933.25 Median $4,073.80 Typical High $7,585.78 | Facility | None | $933.25 | $4,073.80 | $7,585.78 |
Blue Shield Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $1,230.27 | Professional | None | $323.59 | $457.09 | $1,230.27 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $537.03 Median $602.56 Typical High $912.01 | Professional | None | $537.03 | $602.56 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,202.26 Typical High $2,238.72 | Facility | None | $501.19 | $1,202.26 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $776.25 Typical High $3,311.31 | Professional | None | $363.08 | $776.25 | $3,311.31 |
Contra Costa Health Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $912.01 | Professional | None | $537.03 | $741.31 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $1,819.70 | Professional | None | $602.56 | $741.31 | $1,819.70 |
Lucent Health Setting Professional Modifier None Typical Low $3,388.44 Median $5,128.61 Typical High $5,128.61 | Professional | None | $3,388.44 | $5,128.61 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Providence Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $2,089.30 | Facility | None | $562.34 | $912.01 | $2,089.30 |
Providence Setting Professional Modifier None Typical Low $363.08 Median $794.33 Typical High $3,311.31 | Professional | None | $363.08 | $794.33 | $3,311.31 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $676.08 | Facility | None | $281.84 | $281.84 | $676.08 |
United Setting Professional Modifier None Typical Low $281.84 Median $407.38 Typical High $2,691.53 | Professional | None | $281.84 | $407.38 | $2,691.53 |
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 $295.12 Median $758.58 Typical High $1,819.70 | Facility | 52 · Reduced service | $295.12 | $758.58 | $1,819.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $117.49 Median $309.03 Typical High $724.44 | Facility | 53 · Discontinued | $117.49 | $309.03 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $263.03 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $263.03 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $107.15 | $120.23 | $120.23 |
Where California sits
The same service costs 3.8 times more in Texas than in Oklahoma. 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· 4th of 51
$1,023
TX $1,549OK $407
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.