How much rates vary
Facilitymedian $398 · 10th to 90th $195 to $955Professionalmedian $776 · 10th to 90th $129 to $1,549
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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $776.25 Typical High $776.25 | Professional | None | $199.53 | $776.25 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $371.54 Typical High $1,023.29 | Facility | None | $257.04 | $371.54 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $870.96 Typical High $1,862.09 | Professional | None | $398.11 | $870.96 | $1,862.09 |
Blue Shield Setting Facility Modifier None Typical Low $151.36 Median $489.78 Typical High $616.60 | Facility | None | $151.36 | $489.78 | $616.60 |
Blue Shield Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $323.59 | Professional | None | $128.82 | $181.97 | $323.59 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $208.93 | Professional | None | $123.03 | $165.96 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $371.54 Typical High $741.31 | Facility | None | $177.83 | $371.54 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $223.87 Typical High $1,122.02 | Professional | None | $123.03 | $223.87 | $1,122.02 |
Contra Costa Health Setting Professional Modifier None Typical Low $120.23 Median $229.09 Typical High $281.84 | Professional | None | $120.23 | $229.09 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $549.54 | Professional | None | $186.21 | $239.88 | $549.54 |
Lucent Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,548.82 | Professional | None | $1,047.13 | $1,047.13 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Providence Setting Facility Modifier None Typical Low $194.98 Median $389.05 Typical High $1,122.02 | Facility | None | $194.98 | $389.05 | $1,122.02 |
Providence Setting Professional Modifier None Typical Low $123.03 Median $229.09 Typical High $1,023.29 | Professional | None | $123.03 | $229.09 | $1,023.29 |
Sutter Health Plus Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $208.93 | Facility | None | $87.10 | $87.10 | $208.93 |
United Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $812.83 | Professional | None | $87.10 | $125.89 | $812.83 |
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 $389.05 Median $602.56 Typical High $1,479.11 | Facility | 52 · Reduced service | $389.05 | $602.56 | $1,479.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $158.49 Median $239.88 Typical High $588.84 | Facility | 53 · Discontinued | $158.49 | $239.88 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $97.72 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $39.81 | $158.49 | $158.49 |
Where California sits
The same service costs 5.1 times more in California 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· 1st of 51
$708
CA $708DE $138
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.