How much rates vary
Facilitymedian $490 · 10th to 90th $234 to $1,202Professionalmedian $331 · 10th to 90th $138 to $2,042
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 $229.09 Median $588.84 Typical High $1,412.54 | Facility | None | $229.09 | $588.84 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $234.42 Typical High $234.42 | Professional | None | $204.17 | $234.42 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $489.78 Typical High $1,348.96 | Facility | None | $338.84 | $489.78 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $380.19 Typical High $1,148.15 | Professional | None | $138.04 | $380.19 | $1,148.15 |
Blue Shield Setting Facility Modifier None Typical Low $199.53 Median $512.86 Typical High $812.83 | Facility | None | $199.53 | $512.86 | $812.83 |
Blue Shield Setting Professional Modifier None Typical Low $125.89 Median $177.83 Typical High $478.63 | Professional | None | $125.89 | $177.83 | $478.63 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $218.78 Median $245.47 Typical High $371.54 | Professional | None | $218.78 | $245.47 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $489.78 Typical High $912.01 | Facility | None | $194.98 | $489.78 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $295.12 Typical High $1,348.96 | Professional | None | $147.91 | $295.12 | $1,348.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $371.54 | Professional | None | $218.78 | $302.00 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $741.31 | Professional | None | $245.47 | $316.23 | $741.31 |
Lucent Health Setting Professional Modifier None Typical Low $1,380.38 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,380.38 | $2,041.74 | $2,041.74 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $371.54 Typical High $831.76 | Facility | None | $218.78 | $371.54 | $831.76 |
Providence Setting Professional Modifier None Typical Low $147.91 Median $309.03 Typical High $1,348.96 | Professional | None | $147.91 | $309.03 | $1,348.96 |
Sutter Health Plus Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
United Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $275.42 | Facility | None | $114.82 | $114.82 | $275.42 |
United Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $1,202.26 | Professional | None | $114.82 | $165.96 | $1,202.26 |
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 $114.82 Median $295.12 Typical High $707.95 | Facility | 52 · Reduced service | $114.82 | $295.12 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $45.71 Median $120.23 Typical High $281.84 | Facility | 53 · Discontinued | $45.71 | $120.23 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $102.33 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $41.69 | $46.77 | $46.77 |
Where California sits
The same service costs 5.0 times more in Texas 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
$363
TX $832DE $166
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.