How much rates vary
Facilitymedian $1,585 · 10th to 90th $479 to $3,715Professionalmedian $891 · 10th to 90th $339 to $6,761
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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $323.59 Typical High $1,258.93 | Professional | None | $309.03 | $323.59 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,621.81 Typical High $4,466.84 | Facility | None | $1,096.48 | $1,621.81 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $707.95 Typical High $3,467.37 | Professional | None | $389.05 | $707.95 | $3,467.37 |
Blue Shield Setting Facility Modifier None Typical Low $645.65 Median $2,089.30 Typical High $2,630.27 | Facility | None | $645.65 | $2,089.30 | $2,630.27 |
Blue Shield Setting Professional Modifier None Typical Low $346.74 Median $501.19 Typical High $1,318.26 | Professional | None | $346.74 | $501.19 | $1,318.26 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $524.81 Median $724.44 Typical High $891.25 | Professional | None | $524.81 | $724.44 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,621.81 Typical High $3,019.95 | Facility | None | $588.84 | $1,621.81 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $1,047.13 Typical High $4,466.84 | Professional | None | $478.63 | $1,047.13 | $4,466.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $512.86 Median $1,000.00 Typical High $1,202.26 | Professional | None | $512.86 | $1,000.00 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $1,023.29 Typical High $2,398.83 | Professional | None | $812.83 | $1,023.29 | $2,398.83 |
Lucent Health Setting Professional Modifier None Typical Low $4,466.84 Median $6,760.83 Typical High $6,760.83 | Professional | None | $4,466.84 | $6,760.83 | $6,760.83 |
Molina Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Providence Setting Facility Modifier None Typical Low $436.52 Median $1,202.26 Typical High $2,754.23 | Facility | None | $436.52 | $1,202.26 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $489.78 Median $1,071.52 Typical High $4,466.84 | Professional | None | $489.78 | $1,071.52 | $4,466.84 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
United Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $891.25 | Facility | None | $380.19 | $380.19 | $891.25 |
United Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $3,981.07 | Professional | None | $380.19 | $537.03 | $3,981.07 |
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 $151.36 Median $234.42 Typical High $575.44 | Facility | 52 · Reduced service | $151.36 | $234.42 | $575.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $61.66 Median $93.33 Typical High $229.09 | Facility | 53 · Discontinued | $61.66 | $93.33 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $151.36 Typical High $269.15 | Professional | 52 · Reduced service | $151.36 | $151.36 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $107.15 | Professional | 53 · Discontinued | $61.66 | $61.66 | $107.15 |
Where California sits
The same service costs 5.1 times more in Texas 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· 13th of 51
$977
TX $2,399OK $468
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.