How much rates vary
Facilitymedian $363 · 10th to 90th $182 to $933Professionalmedian $933 · 10th to 90th $123 to $2,239
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $331.13 Typical High $912.01 | Facility | None | $229.09 | $331.13 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $2,089.30 Typical High $4,677.35 | Professional | None | $309.03 | $2,089.30 | $4,677.35 |
Blue Shield Setting Facility Modifier None Typical Low $134.90 Median $436.52 Typical High $549.54 | Facility | None | $134.90 | $436.52 | $549.54 |
Blue Shield Setting Professional Modifier None Typical Low $933.25 Median $1,348.96 Typical High $2,951.21 | Professional | None | $933.25 | $1,348.96 | $2,951.21 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $251.19 | Professional | None | $147.91 | $165.96 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $380.19 Typical High $616.60 | Facility | None | $151.36 | $380.19 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $218.78 Typical High $912.01 | Professional | None | $100.00 | $218.78 | $912.01 |
Contra Costa Health Setting Professional Modifier None Typical Low $147.91 Median $204.17 Typical High $251.19 | Professional | None | $147.91 | $204.17 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $489.78 | Professional | None | $165.96 | $213.80 | $489.78 |
Lucent Health Setting Professional Modifier None Typical Low $933.25 Median $1,380.38 Typical High $1,380.38 | Professional | None | $933.25 | $1,380.38 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Providence Setting Facility Modifier None Typical Low $173.78 Median $416.87 Typical High $1,096.48 | Facility | None | $173.78 | $416.87 | $1,096.48 |
Providence Setting Professional Modifier None Typical Low $100.00 Median $218.78 Typical High $912.01 | Professional | None | $100.00 | $218.78 | $912.01 |
Sutter Health Plus Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $186.21 | Facility | None | $77.62 | $77.62 | $186.21 |
United Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $812.83 | Professional | None | $77.62 | $112.20 | $812.83 |
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 $524.81 Median $794.33 Typical High $1,949.84 | Facility | 52 · Reduced service | $524.81 | $794.33 | $1,949.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $208.93 Median $323.59 Typical High $776.25 | Facility | 53 · Discontinued | $208.93 | $323.59 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $446.68 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $181.97 | $208.93 | $208.93 |
Where California sits
The same service costs 8.3 times more in California 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· 1st of 51
$933
CA $933OK $112
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.