How much rates vary
Facilitymedian $537 · 10th to 90th $219 to $1,288Professionalmedian $380 · 10th to 90th $89 to $2,291
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $549.54 Typical High $1,513.56 | Facility | None | $371.54 | $549.54 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $524.81 Typical High $1,174.90 | Professional | None | $338.84 | $524.81 | $1,174.90 |
Blue Shield Setting Facility Modifier None Typical Low $218.78 Median $707.95 Typical High $891.25 | Facility | None | $218.78 | $707.95 | $891.25 |
Blue Shield Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $251.19 | Professional | None | $63.10 | $89.13 | $251.19 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $245.47 Median $275.42 Typical High $512.86 | Professional | None | $245.47 | $275.42 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $549.54 Typical High $1,023.29 | Facility | None | $245.47 | $549.54 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $354.81 Typical High $1,513.56 | Professional | None | $162.18 | $354.81 | $1,513.56 |
Contra Costa Health Setting Professional Modifier None Typical Low $302.00 Median $338.84 Typical High $407.38 | Professional | None | $302.00 | $338.84 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $346.74 Typical High $812.83 | Professional | None | $275.42 | $346.74 | $812.83 |
Lucent Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,513.56 | $2,290.87 | $2,290.87 |
Molina Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Providence Setting Facility Modifier None Typical Low $147.91 Median $407.38 Typical High $954.99 | Facility | None | $147.91 | $407.38 | $954.99 |
Providence Setting Professional Modifier None Typical Low $165.96 Median $363.08 Typical High $1,513.56 | Professional | None | $165.96 | $363.08 | $1,513.56 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
United Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $302.00 | Facility | None | $128.82 | $128.82 | $302.00 |
United Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $1,348.96 | Professional | None | $128.82 | $181.97 | $1,348.96 |
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 $51.29 Median $79.43 Typical High $194.98 | Facility | 52 · Reduced service | $51.29 | $79.43 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $31.62 Typical High $77.62 | Facility | 53 · Discontinued | $20.89 | $31.62 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $91.20 | Professional | 52 · Reduced service | $51.29 | $51.29 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $36.31 | Professional | 53 · Discontinued | $20.89 | $20.89 | $36.31 |
Where California sits
The same service costs 5.5 times more in Texas 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· 5th of 51
$407
TX $955AL $174
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.