How much rates vary
Facilitymedian $309 · 10th to 90th $123 to $724Professionalmedian $174 · 10th to 90th $76 to $1,318
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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $117.49 | Professional | None | $75.86 | $75.86 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $316.23 Typical High $870.96 | Facility | None | $213.80 | $316.23 | $870.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $128.82 Typical High $676.08 | Professional | None | $69.18 | $128.82 | $676.08 |
Blue Shield Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $512.86 | Facility | None | $125.89 | $407.38 | $512.86 |
Blue Shield Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $213.80 | Professional | None | $81.28 | $117.49 | $213.80 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $79.43 Median $141.25 Typical High $173.78 | Professional | None | $79.43 | $141.25 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $316.23 Typical High $588.84 | Facility | None | $128.82 | $316.23 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $186.21 Typical High $870.96 | Professional | None | $95.50 | $186.21 | $870.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $77.62 Median $194.98 Typical High $234.42 | Professional | None | $77.62 | $194.98 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $194.98 Typical High $467.74 | Professional | None | $158.49 | $194.98 | $467.74 |
Lucent Health Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,318.26 | Professional | None | $870.96 | $870.96 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $234.42 Typical High $537.03 | Facility | None | $107.15 | $234.42 | $537.03 |
Providence Setting Professional Modifier None Typical Low $97.72 Median $194.98 Typical High $870.96 | Professional | None | $97.72 | $194.98 | $870.96 |
Sutter Health Plus Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $173.78 | Facility | None | $74.13 | $74.13 | $173.78 |
United Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $691.83 | Professional | None | $74.13 | $104.71 | $691.83 |
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 $37.15 Median $57.54 Typical High $141.25 | Facility | 52 · Reduced service | $37.15 | $57.54 | $141.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $22.91 Typical High $56.23 | Facility | 53 · Discontinued | $15.14 | $22.91 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $63.10 | Professional | 52 · Reduced service | $37.15 | $37.15 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $25.12 | Professional | 53 · Discontinued | $15.14 | $15.14 | $25.12 |
Where California sits
The same service costs 3.8 times more in Alaska than in Connecticut. 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· 15th of 51
$191
AK $398CT $105
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.