How much rates vary
Facilitymedian $759 · 10th to 90th $209 to $1,820Professionalmedian $575 · 10th to 90th $76 to $3,311
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 $131.83 Median $151.36 Typical High $436.52 | Facility | None | $131.83 | $151.36 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $151.36 Typical High $151.36 | Professional | None | $131.83 | $151.36 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $794.33 Typical High $2,187.76 | Facility | None | $537.03 | $794.33 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $1,698.24 | Professional | None | $549.54 | $831.76 | $1,698.24 |
Blue Shield Setting Facility Modifier None Typical Low $316.23 Median $1,023.29 Typical High $1,288.25 | Facility | None | $316.23 | $1,023.29 | $1,288.25 |
Blue Shield Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $363.08 | Professional | None | $52.48 | $75.86 | $363.08 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $144.54 Median $354.81 Typical High $436.52 | Professional | None | $144.54 | $354.81 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $794.33 Typical High $1,479.11 | Facility | None | $288.40 | $794.33 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $363.08 Typical High $2,187.76 | Professional | None | $95.50 | $363.08 | $2,187.76 |
Contra Costa Health Setting Professional Modifier None Typical Low $141.25 Median $478.63 Typical High $588.84 | Professional | None | $141.25 | $478.63 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $1,174.90 | Professional | None | $398.11 | $478.63 | $1,174.90 |
Lucent Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $3,311.31 | Professional | None | $2,187.76 | $2,187.76 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Providence Setting Facility Modifier None Typical Low $158.49 Median $588.84 Typical High $1,348.96 | Facility | None | $158.49 | $588.84 | $1,348.96 |
Providence Setting Professional Modifier None Typical Low $95.50 Median $478.63 Typical High $2,187.76 | Professional | None | $95.50 | $478.63 | $2,187.76 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $436.52 | Facility | None | $186.21 | $186.21 | $436.52 |
United Setting Professional Modifier None Typical Low $74.13 Median $213.80 Typical High $1,737.80 | Professional | None | $74.13 | $213.80 | $1,737.80 |
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 $66.07 Median $114.82 Typical High $275.42 | Facility | 52 · Reduced service | $66.07 | $114.82 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $45.71 Typical High $109.65 | Facility | 53 · Discontinued | $26.30 | $45.71 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $75.86 Typical High $109.65 | Professional | 52 · Reduced service | $66.07 | $75.86 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $30.20 Typical High $43.65 | Professional | 53 · Discontinued | $26.30 | $30.20 | $43.65 |
Where California sits
The same service costs 7.1 times more in Texas than in North Carolina. 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· 5th of 51
$603
TX $1,380NC $195
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.