How much rates vary
Facilitymedian $1,259 · 10th to 90th $513 to $4,898Professionalmedian $759 · 10th to 90th $302 to $4,467
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 $501.19 Median $1,288.25 Typical High $3,090.30 | Facility | None | $501.19 | $1,288.25 | $3,090.30 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $512.86 Typical High $512.86 | Professional | None | $446.68 | $512.86 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,071.52 Typical High $2,951.21 | Facility | None | $741.31 | $1,071.52 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $870.96 Typical High $2,511.89 | Professional | None | $302.00 | $870.96 | $2,511.89 |
Blue Shield Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $6,456.54 | Facility | None | $794.33 | $3,467.37 | $6,456.54 |
Blue Shield Setting Professional Modifier None Typical Low $275.42 Median $389.05 Typical High $1,023.29 | Professional | None | $275.42 | $389.05 | $1,023.29 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $478.63 Median $537.03 Typical High $812.83 | Professional | None | $478.63 | $537.03 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,071.52 Typical High $1,995.26 | Facility | None | $426.58 | $1,071.52 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $660.69 Typical High $2,951.21 | Professional | None | $323.59 | $660.69 | $2,951.21 |
Contra Costa Health Setting Professional Modifier None Typical Low $478.63 Median $660.69 Typical High $812.83 | Professional | None | $478.63 | $660.69 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $1,584.89 | Professional | None | $537.03 | $660.69 | $1,584.89 |
Lucent Health Setting Professional Modifier None Typical Low $3,019.95 Median $4,466.84 Typical High $4,466.84 | Professional | None | $3,019.95 | $4,466.84 | $4,466.84 |
Molina Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Providence Setting Facility Modifier None Typical Low $489.78 Median $812.83 Typical High $1,819.70 | Facility | None | $489.78 | $812.83 | $1,819.70 |
Providence Setting Professional Modifier None Typical Low $323.59 Median $691.83 Typical High $2,951.21 | Professional | None | $323.59 | $691.83 | $2,951.21 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $602.56 | Facility | None | $251.19 | $251.19 | $602.56 |
United Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $2,630.27 | Professional | None | $251.19 | $363.08 | $2,630.27 |
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 $251.19 Median $645.65 Typical High $1,548.82 | Facility | 52 · Reduced service | $251.19 | $645.65 | $1,548.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $100.00 Median $257.04 Typical High $616.60 | Facility | 53 · Discontinued | $100.00 | $257.04 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $223.87 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $89.13 | $102.33 | $102.33 |
Where California sits
The same service costs 3.7 times more in Alaska 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
$871
AK $1,349DE $363
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.