How much rates vary
Facilitymedian $1,202 · 10th to 90th $603 to $2,818Professionalmedian $851 · 10th to 90th $355 to $5,129
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 $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $676.08 | Professional | None | $575.44 | $676.08 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,202.26 Typical High $3,311.31 | Facility | None | $831.76 | $1,202.26 | $3,311.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $1,023.29 Typical High $2,630.27 | Professional | None | $645.65 | $1,023.29 | $2,630.27 |
Blue Shield Setting Facility Modifier None Typical Low $489.78 Median $1,584.89 Typical High $1,995.26 | Facility | None | $489.78 | $1,584.89 | $1,995.26 |
Blue Shield Setting Professional Modifier None Typical Low $354.81 Median $512.86 Typical High $1,318.26 | Professional | None | $354.81 | $512.86 | $1,318.26 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $870.96 | Professional | None | $524.81 | $575.44 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,202.26 Typical High $2,238.72 | Facility | None | $537.03 | $1,202.26 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $724.44 Typical High $3,311.31 | Professional | None | $371.54 | $724.44 | $3,311.31 |
Contra Costa Health Setting Professional Modifier None Typical Low $512.86 Median $741.31 Typical High $912.01 | Professional | None | $512.86 | $741.31 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $1,737.80 | Professional | None | $602.56 | $741.31 | $1,737.80 |
Lucent Health Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $5,128.61 | Professional | None | $3,388.44 | $3,388.44 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Providence Setting Facility Modifier None Typical Low $575.44 Median $954.99 Typical High $2,089.30 | Facility | None | $575.44 | $954.99 | $2,089.30 |
Providence Setting Professional Modifier None Typical Low $398.11 Median $741.31 Typical High $3,311.31 | Professional | None | $398.11 | $741.31 | $3,311.31 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $676.08 | Facility | None | $281.84 | $281.84 | $676.08 |
United Setting Professional Modifier None Typical Low $281.84 Median $407.38 Typical High $2,691.53 | Professional | None | $281.84 | $407.38 | $2,691.53 |
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 $331.13 Median $512.86 Typical High $1,258.93 | Facility | 52 · Reduced service | $331.13 | $512.86 | $1,258.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $134.90 Median $204.17 Typical High $501.19 | Facility | 53 · Discontinued | $134.90 | $204.17 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $288.40 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $117.49 | $134.90 | $134.90 |
Where California sits
The same service costs 3.6 times more in Texas than in Delaware. 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
$955
TX $1,660DE $457
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.