How much rates vary
Facilitymedian $646 · 10th to 90th $158 to $1,585Professionalmedian $479 · 10th to 90th $40 to $2,818
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 $69.18 Median $77.62 Typical High $95.50 | Facility | None | $69.18 | $77.62 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $79.43 | Professional | None | $69.18 | $79.43 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $457.09 Median $676.08 Typical High $1,862.09 | Facility | None | $457.09 | $676.08 | $1,862.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $446.68 Median $691.83 Typical High $1,445.44 | Professional | None | $446.68 | $691.83 | $1,445.44 |
Blue Shield Setting Facility Modifier None Typical Low $269.15 Median $870.96 Typical High $1,096.48 | Facility | None | $269.15 | $870.96 | $1,096.48 |
Blue Shield Setting Professional Modifier None Typical Low $27.54 Median $39.81 Typical High $190.55 | Professional | None | $27.54 | $39.81 | $190.55 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $75.86 Median $302.00 Typical High $371.54 | Professional | None | $75.86 | $302.00 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $676.08 Typical High $1,258.93 | Facility | None | $245.47 | $676.08 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $251.19 Typical High $1,862.09 | Professional | None | $50.12 | $251.19 | $1,862.09 |
Contra Costa Health Setting Professional Modifier None Typical Low $74.13 Median $416.87 Typical High $501.19 | Professional | None | $74.13 | $416.87 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $416.87 Typical High $1,000.00 | Professional | None | $338.84 | $416.87 | $1,000.00 |
Lucent Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,862.09 | $1,862.09 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $501.19 Typical High $1,148.15 | Facility | None | $83.18 | $501.19 | $1,148.15 |
Providence Setting Professional Modifier None Typical Low $50.12 Median $398.11 Typical High $1,862.09 | Professional | None | $50.12 | $398.11 | $1,862.09 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $371.54 | Facility | None | $158.49 | $158.49 | $371.54 |
United Setting Professional Modifier None Typical Low $38.90 Median $169.82 Typical High $1,479.11 | Professional | None | $38.90 | $169.82 | $1,479.11 |
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 $34.67 Median $60.26 Typical High $144.54 | Facility | 52 · Reduced service | $34.67 | $60.26 | $144.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $23.99 Typical High $57.54 | Facility | 53 · Discontinued | $14.13 | $23.99 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $39.81 Typical High $57.54 | Professional | 52 · Reduced service | $34.67 | $39.81 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.85 Typical High $22.91 | Professional | 53 · Discontinued | $14.13 | $15.85 | $22.91 |
Where California sits
The same service costs 10.2 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
$501
TX $1,122NC $110
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.