How much rates vary
Facilitymedian $417 · 10th to 90th $155 to $1,000Professionalmedian $309 · 10th to 90th $100 to $1,778
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 $295.12 Median $426.58 Typical High $1,174.90 | Facility | None | $295.12 | $426.58 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $245.47 Median $389.05 Typical High $912.01 | Professional | None | $245.47 | $389.05 | $912.01 |
Blue Shield Setting Facility Modifier None Typical Low $173.78 Median $562.34 Typical High $707.95 | Facility | None | $173.78 | $562.34 | $707.95 |
Blue Shield Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $912.01 | Professional | None | $74.13 | $104.71 | $912.01 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $131.83 Median $190.55 Typical High $239.88 | Professional | None | $131.83 | $190.55 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $426.58 Typical High $794.33 | Facility | None | $154.88 | $426.58 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $245.47 Typical High $1,174.90 | Professional | None | $87.10 | $245.47 | $1,174.90 |
Contra Costa Health Setting Professional Modifier None Typical Low $128.82 Median $263.03 Typical High $323.59 | Professional | None | $128.82 | $263.03 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $630.96 | Professional | None | $213.80 | $263.03 | $630.96 |
Lucent Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,778.28 | Professional | None | $1,202.26 | $1,202.26 | $1,778.28 |
Molina Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Providence Setting Facility Modifier None Typical Low $151.36 Median $316.23 Typical High $741.31 | Facility | None | $151.36 | $316.23 | $741.31 |
Providence Setting Professional Modifier None Typical Low $87.10 Median $263.03 Typical High $1,174.90 | Professional | None | $87.10 | $263.03 | $1,174.90 |
Sutter Health Plus Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $239.88 | Facility | None | $100.00 | $100.00 | $239.88 |
United Setting Professional Modifier None Typical Low $67.61 Median $141.25 Typical High $933.25 | Professional | None | $67.61 | $141.25 | $933.25 |
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 $81.28 | Professional | 52 · Reduced service | $75.86 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $32.36 | Professional | 53 · Discontinued | $30.20 | $30.20 | $32.36 |
Where California sits
The same service costs 3.8 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· 5th of 51
$339
AK $537OK $141
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.