How much rates vary
Facilitymedian $794 · 10th to 90th $309 to $1,862Professionalmedian $479 · 10th to 90th $204 to $3,388
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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $302.00 | Professional | None | $204.17 | $204.17 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $549.54 Median $812.83 Typical High $2,238.72 | Facility | None | $549.54 | $812.83 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $398.11 Typical High $1,737.80 | Professional | None | $213.80 | $398.11 | $1,737.80 |
Blue Shield Setting Facility Modifier None Typical Low $323.59 Median $1,047.13 Typical High $1,318.26 | Facility | None | $323.59 | $1,047.13 | $1,318.26 |
Blue Shield Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $870.96 | Professional | None | $204.17 | $295.12 | $870.96 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $363.08 Median $407.38 Typical High $758.58 | Professional | None | $363.08 | $407.38 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $812.83 Typical High $1,513.56 | Facility | None | $323.59 | $812.83 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $478.63 Typical High $2,238.72 | Professional | None | $245.47 | $478.63 | $2,238.72 |
Contra Costa Health Setting Professional Modifier None Typical Low $446.68 Median $501.19 Typical High $602.56 | Professional | None | $446.68 | $501.19 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $501.19 Typical High $1,202.26 | Professional | None | $407.38 | $501.19 | $1,202.26 |
Lucent Health Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $3,388.44 | Professional | None | $2,238.72 | $2,238.72 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Providence Setting Facility Modifier None Typical Low $295.12 Median $602.56 Typical High $1,412.54 | Facility | None | $295.12 | $602.56 | $1,412.54 |
Providence Setting Professional Modifier None Typical Low $245.47 Median $501.19 Typical High $2,238.72 | Professional | None | $245.47 | $501.19 | $2,238.72 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $446.68 | Facility | None | $190.55 | $190.55 | $446.68 |
United Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $1,819.70 | Professional | None | $190.55 | $269.15 | $1,819.70 |
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 $102.33 Median $154.88 Typical High $380.19 | Facility | 52 · Reduced service | $102.33 | $154.88 | $380.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $40.74 Median $63.10 Typical High $154.88 | Facility | 53 · Discontinued | $40.74 | $63.10 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $102.33 Typical High $158.49 | Professional | 52 · Reduced service | $102.33 | $102.33 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $63.10 | Professional | 53 · Discontinued | $40.74 | $40.74 | $63.10 |
Where California sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 10th of 51
$525
AK $1,023FL $275
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.