How much rates vary
Facilitymedian $380 · 10th to 90th $174 to $851Professionalmedian $398 · 10th to 90th $89 to $1,514
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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $389.05 Typical High $389.05 | Professional | None | $173.78 | $389.05 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $363.08 Typical High $1,000.00 | Facility | None | $251.19 | $363.08 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $512.86 Typical High $912.01 | Professional | None | $331.13 | $512.86 | $912.01 |
Blue Shield Setting Facility Modifier None Typical Low $147.91 Median $478.63 Typical High $602.56 | Facility | None | $147.91 | $478.63 | $602.56 |
Blue Shield Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $870.96 | Professional | None | $87.10 | $123.03 | $870.96 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $154.88 Median $169.82 Typical High $257.04 | Professional | None | $154.88 | $169.82 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $363.08 Typical High $676.08 | Facility | None | $141.25 | $363.08 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $218.78 Typical High $1,000.00 | Professional | None | $102.33 | $218.78 | $1,000.00 |
Contra Costa Health Setting Professional Modifier None Typical Low $151.36 Median $223.87 Typical High $275.42 | Professional | None | $151.36 | $223.87 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $234.42 Typical High $537.03 | Professional | None | $181.97 | $234.42 | $537.03 |
Lucent Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,513.56 | Professional | None | $1,023.29 | $1,023.29 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Providence Setting Facility Modifier None Typical Low $165.96 Median $380.19 Typical High $645.65 | Facility | None | $165.96 | $380.19 | $645.65 |
Providence Setting Professional Modifier None Typical Low $102.33 Median $223.87 Typical High $1,000.00 | Professional | None | $102.33 | $223.87 | $1,000.00 |
Sutter Health Plus Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $204.17 | Facility | None | $85.11 | $85.11 | $204.17 |
United Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $794.33 | Professional | None | $79.43 | $120.23 | $794.33 |
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 $194.98 Median $295.12 Typical High $724.44 | Facility | 52 · Reduced service | $194.98 | $295.12 | $724.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $77.62 Median $117.49 Typical High $288.40 | Facility | 53 · Discontinued | $77.62 | $117.49 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $87.10 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $34.67 | $77.62 | $77.62 |
Where California sits
The same service costs 3.5 times more in Alaska than in Oklahoma. 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· 2nd of 51
$398
AK $457OK $132
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.