How much rates vary
Facilitymedian $562 · 10th to 90th $245 to $2,630Professionalmedian $389 · 10th to 90th $151 to $1,820
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 $275.42 Median $707.95 Typical High $1,698.24 | Facility | None | $275.42 | $707.95 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $281.84 Typical High $281.84 | Professional | None | $218.78 | $281.84 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $436.52 Typical High $1,202.26 | Facility | None | $295.12 | $436.52 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $457.09 Typical High $1,122.02 | Professional | None | $165.96 | $457.09 | $1,122.02 |
Blue Shield Setting Facility Modifier None Typical Low $426.58 Median $1,905.46 Typical High $3,548.13 | Facility | None | $426.58 | $1,905.46 | $3,548.13 |
Blue Shield Setting Professional Modifier None Typical Low $151.36 Median $213.80 Typical High $562.34 | Professional | None | $151.36 | $213.80 | $562.34 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $363.08 | Professional | None | $194.98 | $218.78 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $436.52 Typical High $851.14 | Facility | None | $208.93 | $436.52 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $288.40 Typical High $1,288.25 | Professional | None | $158.49 | $288.40 | $1,288.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $323.59 | Professional | None | $213.80 | $269.15 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $275.42 Typical High $645.65 | Professional | None | $218.78 | $275.42 | $645.65 |
Lucent Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,819.70 | Professional | None | $1,202.26 | $1,202.26 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $389.05 Typical High $776.25 | Facility | None | $223.87 | $389.05 | $776.25 |
Providence Setting Professional Modifier None Typical Low $158.49 Median $302.00 Typical High $1,288.25 | Professional | None | $158.49 | $302.00 | $1,288.25 |
Sutter Health Plus Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $239.88 | Facility | None | $102.33 | $102.33 | $239.88 |
United Setting Professional Modifier None Typical Low $102.33 Median $144.54 Typical High $954.99 | Professional | None | $102.33 | $144.54 | $954.99 |
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 $138.04 Median $354.81 Typical High $851.14 | Facility | 52 · Reduced service | $138.04 | $354.81 | $851.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $54.95 Median $141.25 Typical High $338.84 | Facility | 53 · Discontinued | $54.95 | $141.25 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $114.82 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $45.71 | $56.23 | $56.23 |
Where California sits
The same service costs 4.3 times more in Texas than in Delaware. 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· 4th of 51
$417
TX $692DE $162
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.