How much rates vary
Facilitymedian $513 · 10th to 90th $200 to $1,202Professionalmedian $309 · 10th to 90th $132 to $2,188
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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $194.98 | Professional | None | $134.90 | $134.90 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $363.08 Median $524.81 Typical High $1,445.44 | Facility | None | $363.08 | $524.81 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $154.88 Median $281.84 Typical High $1,122.02 | Professional | None | $154.88 | $281.84 | $1,122.02 |
Blue Shield Setting Facility Modifier None Typical Low $208.93 Median $676.08 Typical High $851.14 | Facility | None | $208.93 | $676.08 | $851.14 |
Blue Shield Setting Professional Modifier None Typical Low $131.83 Median $190.55 Typical High $645.65 | Professional | None | $131.83 | $190.55 | $645.65 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $436.52 | Professional | None | $234.42 | $263.03 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $524.81 Typical High $977.24 | Facility | None | $208.93 | $524.81 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $309.03 Typical High $1,445.44 | Professional | None | $158.49 | $309.03 | $1,445.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $257.04 Median $323.59 Typical High $389.05 | Professional | None | $257.04 | $323.59 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $776.25 | Professional | None | $263.03 | $338.84 | $776.25 |
Lucent Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,187.76 | Professional | None | $1,445.44 | $1,445.44 | $2,187.76 |
Molina Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Providence Setting Facility Modifier None Typical Low $190.55 Median $389.05 Typical High $912.01 | Facility | None | $190.55 | $389.05 | $912.01 |
Providence Setting Professional Modifier None Typical Low $158.49 Median $323.59 Typical High $1,445.44 | Professional | None | $158.49 | $323.59 | $1,445.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $288.40 | Facility | None | $123.03 | $123.03 | $288.40 |
United Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $1,174.90 | Professional | None | $123.03 | $173.78 | $1,174.90 |
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 $67.61 Median $102.33 Typical High $251.19 | Facility | 52 · Reduced service | $67.61 | $102.33 | $251.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $40.74 Typical High $100.00 | Facility | 53 · Discontinued | $26.92 | $40.74 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $102.33 | Professional | 52 · Reduced service | $67.61 | $67.61 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $40.74 | Professional | 53 · Discontinued | $26.92 | $26.92 | $40.74 |
Where California sits
The same service costs 3.8 times more in Alaska than in Alabama. 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· 7th of 51
$363
AK $661AL $174
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.