How much rates vary
Facilitymedian $372 · 10th to 90th $204 to $871Professionalmedian $316 · 10th to 90th $93 to $1,549
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 $323.59 Median $354.81 Typical High $363.08 | Facility | None | $323.59 | $354.81 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $363.08 | Professional | None | $251.19 | $363.08 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $371.54 Typical High $1,023.29 | Facility | None | $257.04 | $371.54 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $154.88 Typical High $891.25 | Professional | None | $83.18 | $154.88 | $891.25 |
Blue Shield Setting Facility Modifier None Typical Low $151.36 Median $489.78 Typical High $616.60 | Facility | None | $151.36 | $489.78 | $616.60 |
Blue Shield Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $446.68 | Professional | None | $194.98 | $281.84 | $446.68 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $165.96 Median $186.21 Typical High $316.23 | Professional | None | $165.96 | $186.21 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $371.54 Typical High $741.31 | Facility | None | $177.83 | $371.54 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $245.47 Typical High $1,122.02 | Professional | None | $123.03 | $245.47 | $1,122.02 |
Contra Costa Health Setting Professional Modifier None Typical Low $186.21 Median $229.09 Typical High $281.84 | Professional | None | $186.21 | $229.09 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $549.54 | Professional | None | $186.21 | $239.88 | $549.54 |
Lucent Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,548.82 | Professional | None | $1,513.56 | $1,513.56 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Providence Setting Facility Modifier None Typical Low $194.98 Median $389.05 Typical High $707.95 | Facility | None | $194.98 | $389.05 | $707.95 |
Providence Setting Professional Modifier None Typical Low $134.90 Median $251.19 Typical High $1,023.29 | Professional | None | $134.90 | $251.19 | $1,023.29 |
Sutter Health Plus Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $208.93 | Facility | None | $87.10 | $87.10 | $208.93 |
United Setting Professional Modifier None Typical Low $87.10 Median $181.97 Typical High $831.76 | Professional | None | $87.10 | $181.97 | $831.76 |
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 $162.18 Median $281.84 Typical High $676.08 | Facility | 52 · Reduced service | $162.18 | $281.84 | $676.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $64.57 Median $112.20 Typical High $269.15 | Facility | 53 · Discontinued | $64.57 | $112.20 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $128.82 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $52.48 | $74.13 | $74.13 |
Where California sits
The same service costs 3.4 times more in Texas than in Ohio. 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
$347
TX $562OH $166
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.