How much rates vary
Facilitymedian $589 · 10th to 90th $155 to $1,413Professionalmedian $240 · 10th to 90th $66 to $2,512
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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $91.20 | Professional | None | $66.07 | $66.07 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $602.56 Typical High $1,659.59 | Facility | None | $416.87 | $602.56 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $144.54 Typical High $1,318.26 | Professional | None | $77.62 | $144.54 | $1,318.26 |
Blue Shield Setting Facility Modifier None Typical Low $245.47 Median $794.33 Typical High $1,000.00 | Facility | None | $245.47 | $794.33 | $1,000.00 |
Blue Shield Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $204.17 | Professional | None | $58.88 | $83.18 | $204.17 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $75.86 Median $269.15 Typical High $338.84 | Professional | None | $75.86 | $269.15 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $602.56 Typical High $1,122.02 | Facility | None | $218.78 | $602.56 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $281.84 Typical High $1,659.59 | Professional | None | $70.79 | $281.84 | $1,659.59 |
Contra Costa Health Setting Professional Modifier None Typical Low $75.86 Median $371.54 Typical High $457.09 | Professional | None | $75.86 | $371.54 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $912.01 | Professional | None | $302.00 | $389.05 | $912.01 |
Lucent Health Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,511.89 | Professional | None | $1,698.24 | $1,698.24 | $2,511.89 |
Molina Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Providence Setting Facility Modifier None Typical Low $95.50 Median $457.09 Typical High $1,071.52 | Facility | None | $95.50 | $457.09 | $1,071.52 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $371.54 Typical High $1,659.59 | Professional | None | $70.79 | $371.54 | $1,659.59 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
United Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $338.84 | Facility | None | $141.25 | $141.25 | $338.84 |
United Setting Professional Modifier None Typical Low $54.95 Median $154.88 Typical High $1,348.96 | Professional | None | $54.95 | $154.88 | $1,348.96 |
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 $33.11 Median $51.29 Typical High $125.89 | Facility | 52 · Reduced service | $33.11 | $51.29 | $125.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $20.42 Typical High $50.12 | Facility | 53 · Discontinued | $13.18 | $20.42 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $66.07 | Professional | 52 · Reduced service | $33.11 | $33.11 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $26.92 | Professional | 53 · Discontinued | $13.18 | $13.18 | $26.92 |
Where California sits
The same service costs 6.6 times more in Texas than in Kentucky. 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· 17th of 51
$339
TX $891KY $135
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.