How much rates vary
Facilitymedian $257 · 10th to 90th $123 to $603Professionalmedian $148 · 10th to 90th $65 to $1,096
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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $112.20 | Professional | None | $87.10 | $87.10 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $257.04 Typical High $707.95 | Facility | None | $177.83 | $257.04 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $107.15 Typical High $616.60 | Professional | None | $57.54 | $107.15 | $616.60 |
Blue Shield Setting Facility Modifier None Typical Low $104.71 Median $338.84 Typical High $426.58 | Facility | None | $104.71 | $338.84 | $426.58 |
Blue Shield Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $213.80 | Professional | None | $89.13 | $128.82 | $213.80 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $74.13 Median $114.82 Typical High $144.54 | Professional | None | $74.13 | $114.82 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $263.03 Typical High $512.86 | Facility | None | $123.03 | $263.03 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $154.88 Typical High $776.25 | Professional | None | $87.10 | $154.88 | $776.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $72.44 Median $158.49 Typical High $194.98 | Professional | None | $72.44 | $158.49 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $389.05 | Professional | None | $131.83 | $165.96 | $389.05 |
Lucent Health Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,096.48 | Professional | None | $724.44 | $724.44 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Providence Setting Facility Modifier None Typical Low $123.03 Median $199.53 Typical High $489.78 | Facility | None | $123.03 | $199.53 | $489.78 |
Providence Setting Professional Modifier None Typical Low $87.10 Median $158.49 Typical High $707.95 | Professional | None | $87.10 | $158.49 | $707.95 |
Sutter Health Plus Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $144.54 | Facility | None | $60.26 | $60.26 | $144.54 |
United Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $575.44 | Professional | None | $60.26 | $87.10 | $575.44 |
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 $43.65 Median $66.07 Typical High $162.18 | Facility | 52 · Reduced service | $43.65 | $66.07 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.38 Median $26.30 Typical High $64.57 | Facility | 53 · Discontinued | $17.38 | $26.30 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $43.65 Typical High $60.26 | Professional | 52 · Reduced service | $43.65 | $43.65 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $23.99 | Professional | 53 · Discontinued | $17.38 | $17.38 | $23.99 |
Where California sits
The same service costs 4.9 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· 16th of 51
$166
AK $324AL $66.07
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.