How much rates vary
Facilitymedian $182 · 10th to 90th $100 to $427Professionalmedian $155 · 10th to 90th $81 to $759
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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $141.25 | Professional | None | $128.82 | $128.82 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $181.97 Typical High $501.19 | Facility | None | $125.89 | $181.97 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $213.80 Typical High $398.11 | Professional | None | $141.25 | $213.80 | $398.11 |
Blue Shield Setting Facility Modifier None Typical Low $74.13 Median $239.88 Typical High $302.00 | Facility | None | $74.13 | $239.88 | $302.00 |
Blue Shield Setting Professional Modifier None Typical Low $97.72 Median $141.25 Typical High $371.54 | Professional | None | $97.72 | $141.25 | $371.54 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $173.78 | Professional | None | $81.28 | $91.20 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $186.21 Typical High $338.84 | Facility | None | $83.18 | $186.21 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $120.23 Typical High $501.19 | Professional | None | $54.95 | $120.23 | $501.19 |
Contra Costa Health Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $138.04 | Professional | None | $102.33 | $112.20 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $117.49 Typical High $275.42 | Professional | None | $91.20 | $117.49 | $275.42 |
Lucent Health Setting Professional Modifier None Typical Low $512.86 Median $758.58 Typical High $758.58 | Professional | None | $512.86 | $758.58 | $758.58 |
Molina Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Providence Setting Facility Modifier None Typical Low $95.50 Median $181.97 Typical High $331.13 | Facility | None | $95.50 | $181.97 | $331.13 |
Providence Setting Professional Modifier None Typical Low $56.23 Median $128.82 Typical High $501.19 | Professional | None | $56.23 | $128.82 | $501.19 |
Sutter Health Plus Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
United Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $102.33 | Facility | None | $42.66 | $42.66 | $102.33 |
United Setting Professional Modifier None Typical Low $42.66 Median $61.66 Typical High $446.68 | Professional | None | $42.66 | $61.66 | $446.68 |
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 $64.57 Median $100.00 Typical High $245.47 | Facility | 52 · Reduced service | $64.57 | $100.00 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $39.81 Typical High $97.72 | Facility | 53 · Discontinued | $25.70 | $39.81 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Where California sits
The same service costs 3.7 times more in Kansas than in Alabama. 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
$170
KS $234AL $63.10
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.