How much rates vary
Facilitymedian $562 · 10th to 90th $224 to $2,399Professionalmedian $363 · 10th to 90th $135 to $1,820
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 $208.93 Median $251.19 Typical High $251.19 | Professional | None | $208.93 | $251.19 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $436.52 Typical High $1,202.26 | Facility | None | $295.12 | $436.52 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $147.91 Median $436.52 Typical High $1,122.02 | Professional | None | $147.91 | $436.52 | $1,122.02 |
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 $194.98 Typical High $512.86 | Professional | None | $134.90 | $194.98 | $512.86 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $363.08 | Professional | None | $194.98 | $218.78 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $436.52 Typical High $851.14 | Facility | None | $204.17 | $436.52 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $288.40 Typical High $1,230.27 | Professional | None | $144.54 | $288.40 | $1,230.27 |
Contra Costa Health Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $323.59 | Professional | None | $213.80 | $269.15 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $269.15 Typical High $645.65 | Professional | None | $218.78 | $269.15 | $645.65 |
Lucent Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,202.26 | $1,819.70 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $354.81 Typical High $776.25 | Facility | None | $223.87 | $354.81 | $776.25 |
Providence Setting Professional Modifier None Typical Low $151.36 Median $302.00 Typical High $1,230.27 | Professional | None | $151.36 | $302.00 | $1,230.27 |
Sutter Health Plus Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $239.88 | Facility | None | $102.33 | $102.33 | $239.88 |
United Setting Professional Modifier None Typical Low $102.33 Median $144.54 Typical High $954.99 | Professional | None | $102.33 | $144.54 | $954.99 |
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 $776.25 | Facility | 52 · Reduced service | $123.03 | $323.59 | $776.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $50.12 Median $128.82 Typical High $309.03 | Facility | 53 · Discontinued | $50.12 | $128.82 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $104.71 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $41.69 | $51.29 | $51.29 |
Where California sits
The same service costs 5.1 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
$398
TX $741OK $145
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.