How much rates vary
Facilitymedian $437 · 10th to 90th $170 to $1,047Professionalmedian $219 · 10th to 90th $56 to $1,862
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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $162.18 | Professional | None | $41.69 | $41.69 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $446.68 Typical High $1,202.26 | Facility | None | $302.00 | $446.68 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $100.00 Typical High $954.99 | Professional | None | $53.70 | $100.00 | $954.99 |
Blue Shield Setting Facility Modifier None Typical Low $177.83 Median $575.44 Typical High $724.44 | Facility | None | $177.83 | $575.44 | $724.44 |
Blue Shield Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $199.53 | Professional | None | $112.20 | $162.18 | $199.53 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $338.84 | Professional | None | $194.98 | $218.78 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $446.68 Typical High $831.76 | Facility | None | $177.83 | $446.68 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $263.03 Typical High $1,202.26 | Professional | None | $134.90 | $263.03 | $1,202.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $194.98 Median $269.15 Typical High $331.13 | Professional | None | $194.98 | $269.15 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $281.84 Typical High $660.69 | Professional | None | $223.87 | $281.84 | $660.69 |
Lucent Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,862.09 | Professional | None | $1,230.27 | $1,230.27 | $1,862.09 |
Molina Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Providence Setting Facility Modifier None Typical Low $58.88 Median $331.13 Typical High $776.25 | Facility | None | $58.88 | $331.13 | $776.25 |
Providence Setting Professional Modifier None Typical Low $134.90 Median $269.15 Typical High $1,202.26 | Professional | None | $134.90 | $269.15 | $1,202.26 |
Sutter Health Plus Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $245.47 | Facility | None | $104.71 | $104.71 | $245.47 |
United Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $977.24 | Professional | None | $104.71 | $147.91 | $977.24 |
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 $20.89 Median $31.62 Typical High $77.62 | Facility | 52 · Reduced service | $20.89 | $31.62 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $12.59 Typical High $30.90 | Facility | 53 · Discontinued | $8.32 | $12.59 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $81.28 | Professional | 52 · Reduced service | $20.89 | $20.89 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $32.36 | Professional | 53 · Discontinued | $8.32 | $8.32 | $32.36 |
Where California sits
The same service costs 3.7 times more in Alaska than in Connecticut. 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· 18th of 51
$257
AK $550CT $148
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.