How much rates vary
Facilitymedian $380 · 10th to 90th $195 to $851Professionalmedian $437 · 10th to 90th $83 to $1,514
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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $354.81 Typical High $977.24 | Facility | None | $245.47 | $354.81 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $125.89 Typical High $776.25 | Professional | None | $21.38 | $125.89 | $776.25 |
Blue Shield Setting Facility Modifier None Typical Low $144.54 Median $467.74 Typical High $588.84 | Facility | None | $144.54 | $467.74 | $588.84 |
Blue Shield Setting Professional Modifier None Typical Low $309.03 Median $436.52 Typical High $1,096.48 | Professional | None | $309.03 | $436.52 | $1,096.48 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $158.49 Median $177.83 Typical High $269.15 | Professional | None | $158.49 | $177.83 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $363.08 Typical High $676.08 | Facility | None | $162.18 | $363.08 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $234.42 Typical High $977.24 | Professional | None | $107.15 | $234.42 | $977.24 |
Contra Costa Health Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $269.15 | Professional | None | $158.49 | $218.78 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $229.09 Typical High $537.03 | Professional | None | $181.97 | $229.09 | $537.03 |
Lucent Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,000.00 | $1,513.56 | $1,513.56 |
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 $186.21 Median $380.19 Typical High $645.65 | Facility | None | $186.21 | $380.19 | $645.65 |
Providence Setting Professional Modifier None Typical Low $109.65 Median $251.19 Typical High $977.24 | Professional | None | $109.65 | $251.19 | $977.24 |
Sutter Health Plus Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $199.53 | Facility | None | $83.18 | $83.18 | $199.53 |
United Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $891.25 | Professional | None | $83.18 | $120.23 | $891.25 |
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 $213.80 Median $323.59 Typical High $794.33 | Facility | 52 · Reduced service | $213.80 | $323.59 | $794.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $85.11 Median $131.83 Typical High $323.59 | Facility | 53 · Discontinued | $85.11 | $131.83 | $323.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
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· 3rd of 51
$427
TX $490OK $129
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.