How much rates vary
Facilitymedian $288 · 10th to 90th $115 to $692Professionalmedian $174 · 10th to 90th $76 to $1,230
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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $109.65 | Professional | None | $79.43 | $79.43 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $295.12 Typical High $812.83 | Facility | None | $204.17 | $295.12 | $812.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $165.96 Typical High $645.65 | Professional | None | $89.13 | $165.96 | $645.65 |
Blue Shield Setting Facility Modifier None Typical Low $120.23 Median $389.05 Typical High $489.78 | Facility | None | $120.23 | $389.05 | $489.78 |
Blue Shield Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $234.42 | Professional | None | $75.86 | $107.15 | $234.42 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $223.87 | Professional | None | $131.83 | $147.91 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $295.12 Typical High $549.54 | Facility | None | $117.49 | $295.12 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $177.83 Typical High $812.83 | Professional | None | $89.13 | $177.83 | $812.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $131.83 Median $181.97 Typical High $223.87 | Professional | None | $131.83 | $181.97 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $446.68 | Professional | None | $147.91 | $190.55 | $446.68 |
Lucent Health Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,230.27 | Professional | None | $831.76 | $831.76 | $1,230.27 |
Molina Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Providence Setting Facility Modifier None Typical Low $112.20 Median $223.87 Typical High $501.19 | Facility | None | $112.20 | $223.87 | $501.19 |
Providence Setting Professional Modifier None Typical Low $89.13 Median $181.97 Typical High $812.83 | Professional | None | $89.13 | $181.97 | $812.83 |
Sutter Health Plus Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
United Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $165.96 | Facility | None | $69.18 | $69.18 | $165.96 |
United Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $660.69 | Professional | None | $69.18 | $100.00 | $660.69 |
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 $39.81 Median $60.26 Typical High $147.91 | Facility | 52 · Reduced service | $39.81 | $60.26 | $147.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $23.99 Typical High $58.88 | Facility | 53 · Discontinued | $15.85 | $23.99 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $57.54 | Professional | 52 · Reduced service | $39.81 | $39.81 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $22.91 | Professional | 53 · Discontinued | $15.85 | $15.85 | $22.91 |
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· 9th of 51
$200
AK $372FL $100
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.