How much rates vary
Facilitymedian $617 · 10th to 90th $282 to $1,445Professionalmedian $417 · 10th to 90th $178 to $2,630
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 $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $257.04 | Professional | None | $229.09 | $229.09 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $630.96 Typical High $1,737.80 | Facility | None | $426.58 | $630.96 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $436.52 Typical High $1,348.96 | Professional | None | $234.42 | $436.52 | $1,348.96 |
Blue Shield Setting Facility Modifier None Typical Low $251.19 Median $812.83 Typical High $1,023.29 | Facility | None | $251.19 | $812.83 | $1,023.29 |
Blue Shield Setting Professional Modifier None Typical Low $177.83 Median $257.04 Typical High $660.69 | Professional | None | $177.83 | $257.04 | $660.69 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $263.03 Median $288.40 Typical High $436.52 | Professional | None | $263.03 | $288.40 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $630.96 Typical High $1,174.90 | Facility | None | $269.15 | $630.96 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $371.54 Typical High $1,737.80 | Professional | None | $190.55 | $371.54 | $1,737.80 |
Contra Costa Health Setting Professional Modifier None Typical Low $257.04 Median $380.19 Typical High $467.74 | Professional | None | $257.04 | $380.19 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $398.11 Typical High $933.25 | Professional | None | $316.23 | $398.11 | $933.25 |
Lucent Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,737.80 | $1,737.80 | $2,630.27 |
Molina Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Providence Setting Facility Modifier None Typical Low $281.84 Median $489.78 Typical High $1,096.48 | Facility | None | $281.84 | $489.78 | $1,096.48 |
Providence Setting Professional Modifier None Typical Low $204.17 Median $380.19 Typical High $1,737.80 | Professional | None | $204.17 | $380.19 | $1,737.80 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
United Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $346.74 | Facility | None | $147.91 | $147.91 | $346.74 |
United Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $1,380.38 | Professional | None | $147.91 | $208.93 | $1,380.38 |
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 $173.78 Typical High $426.58 | Facility | 52 · Reduced service | $114.82 | $173.78 | $426.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $45.71 Median $69.18 Typical High $169.82 | Facility | 53 · Discontinued | $45.71 | $69.18 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $114.82 Typical High $138.04 | Professional | 52 · Reduced service | $114.82 | $114.82 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $54.95 | Professional | 53 · Discontinued | $45.71 | $45.71 | $54.95 |
Where California sits
The same service costs 4.5 times more in Alaska than in Alabama. 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· 7th of 51
$447
AK $776AL $174
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.