How much rates vary
Facilitymedian $339 · 10th to 90th $151 to $813Professionalmedian $240 · 10th to 90th $89 to $1,445
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $346.74 Typical High $954.99 | Facility | None | $239.88 | $346.74 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $269.15 Typical High $741.31 | Professional | None | $162.18 | $269.15 | $741.31 |
Blue Shield Setting Facility Modifier None Typical Low $141.25 Median $457.09 Typical High $575.44 | Facility | None | $141.25 | $457.09 | $575.44 |
Blue Shield Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $501.19 | Professional | None | $89.13 | $128.82 | $501.19 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $154.88 Median $173.78 Typical High $263.03 | Professional | None | $154.88 | $173.78 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $346.74 Typical High $645.65 | Facility | None | $141.25 | $346.74 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $208.93 Typical High $954.99 | Professional | None | $104.71 | $208.93 | $954.99 |
Contra Costa Health Setting Professional Modifier None Typical Low $154.88 Median $213.80 Typical High $263.03 | Professional | None | $154.88 | $213.80 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $213.80 Typical High $512.86 | Professional | None | $173.78 | $213.80 | $512.86 |
Lucent Health Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,445.44 | Professional | None | $977.24 | $977.24 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Providence Setting Facility Modifier None Typical Low $151.36 Median $269.15 Typical High $602.56 | Facility | None | $151.36 | $269.15 | $602.56 |
Providence Setting Professional Modifier None Typical Low $107.15 Median $213.80 Typical High $954.99 | Professional | None | $107.15 | $213.80 | $954.99 |
Sutter Health Plus Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
United Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $194.98 | Facility | None | $81.28 | $81.28 | $194.98 |
United Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $758.58 | Professional | None | $81.28 | $114.82 | $758.58 |
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 $75.86 Median $114.82 Typical High $281.84 | Facility | 52 · Reduced service | $75.86 | $114.82 | $281.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $45.71 Typical High $112.20 | Facility | 53 · Discontinued | $30.20 | $45.71 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $30.20 | $30.20 | $30.20 |
Where California sits
The same service costs 3.4 times more in Alaska 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· 5th of 51
$269
AK $437DE $129
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.