How much rates vary
Facilitymedian $457 · 10th to 90th $245 to $1,096Professionalmedian $389 · 10th to 90th $162 to $1,950
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 $269.15 Median $295.12 Typical High $302.00 | Facility | None | $269.15 | $295.12 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $302.00 Typical High $302.00 | Professional | None | $245.47 | $302.00 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $467.74 Typical High $1,288.25 | Facility | None | $323.59 | $467.74 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $562.34 Typical High $1,122.02 | Professional | None | $363.08 | $562.34 | $1,122.02 |
Blue Shield Setting Facility Modifier None Typical Low $190.55 Median $616.60 Typical High $776.25 | Facility | None | $190.55 | $616.60 | $776.25 |
Blue Shield Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $371.54 | Professional | None | $162.18 | $229.09 | $371.54 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $123.03 Median $208.93 Typical High $263.03 | Professional | None | $123.03 | $208.93 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $467.74 Typical High $933.25 | Facility | None | $223.87 | $467.74 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $281.84 Typical High $1,412.54 | Professional | None | $154.88 | $281.84 | $1,412.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $120.23 Median $288.40 Typical High $354.81 | Professional | None | $120.23 | $288.40 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $302.00 Typical High $691.83 | Professional | None | $234.42 | $302.00 | $691.83 |
Lucent Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,949.84 | Professional | None | $1,318.26 | $1,318.26 | $1,949.84 |
Molina Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $426.58 Typical High $851.14 | Facility | None | $245.47 | $426.58 | $851.14 |
Providence Setting Professional Modifier None Typical Low $154.88 Median $288.40 Typical High $1,288.25 | Professional | None | $154.88 | $288.40 | $1,288.25 |
Sutter Health Plus Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $263.03 | Facility | None | $109.65 | $109.65 | $263.03 |
United Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $1,023.29 | Professional | None | $109.65 | $154.88 | $1,023.29 |
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 $134.90 Median $229.09 Typical High $549.54 | Facility | 52 · Reduced service | $134.90 | $229.09 | $549.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $93.33 Typical High $218.78 | Facility | 53 · Discontinued | $53.70 | $93.33 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $123.03 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $48.98 | $60.26 | $60.26 |
Where California sits
The same service costs 3.4 times more in Alaska 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· 6th of 51
$407
AK $589AL $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.