How much rates vary
Facilitymedian $501 · 10th to 90th $240 to $1,259Professionalmedian $339 · 10th to 90th $141 to $2,138
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 $234.42 Median $616.60 Typical High $1,479.11 | Facility | None | $234.42 | $616.60 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $239.88 | Professional | None | $213.80 | $239.88 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $501.19 Typical High $1,380.38 | Facility | None | $346.74 | $501.19 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $389.05 Typical High $1,202.26 | Professional | None | $141.25 | $389.05 | $1,202.26 |
Blue Shield Setting Facility Modifier None Typical Low $204.17 Median $537.03 Typical High $831.76 | Facility | None | $204.17 | $537.03 | $831.76 |
Blue Shield Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $489.78 | Professional | None | $128.82 | $181.97 | $489.78 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $223.87 Median $251.19 Typical High $389.05 | Professional | None | $223.87 | $251.19 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $512.86 Typical High $954.99 | Facility | None | $199.53 | $512.86 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $309.03 Typical High $1,380.38 | Professional | None | $151.36 | $309.03 | $1,380.38 |
Contra Costa Health Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $380.19 | Professional | None | $223.87 | $309.03 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $323.59 Typical High $758.58 | Professional | None | $257.04 | $323.59 | $758.58 |
Lucent Health Setting Professional Modifier None Typical Low $1,412.54 Median $2,137.96 Typical High $2,137.96 | Professional | None | $1,412.54 | $2,137.96 | $2,137.96 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $380.19 Typical High $870.96 | Facility | None | $223.87 | $380.19 | $870.96 |
Providence Setting Professional Modifier None Typical Low $151.36 Median $316.23 Typical High $1,380.38 | Professional | None | $151.36 | $316.23 | $1,380.38 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $281.84 | Facility | None | $117.49 | $117.49 | $281.84 |
United Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $1,258.93 | Professional | None | $117.49 | $169.82 | $1,258.93 |
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 $117.49 Median $309.03 Typical High $724.44 | Facility | 52 · Reduced service | $117.49 | $309.03 | $724.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $46.77 Median $123.03 Typical High $295.12 | Facility | 53 · Discontinued | $46.77 | $123.03 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $107.15 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $42.66 | $47.86 | $47.86 |
Where California sits
The same service costs 3.7 times more in Alaska 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· 5th of 51
$380
AK $631OK $170
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.