How much rates vary
Facilitymedian $575 · 10th to 90th $155 to $1,380Professionalmedian $251 · 10th to 90th $81 to $2,455
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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $128.82 | Professional | None | $85.11 | $85.11 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $1,621.81 | Facility | None | $407.38 | $588.84 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $120.23 Typical High $1,288.25 | Professional | None | $66.07 | $120.23 | $1,288.25 |
Blue Shield Setting Facility Modifier None Typical Low $239.88 Median $776.25 Typical High $977.24 | Facility | None | $239.88 | $776.25 | $977.24 |
Blue Shield Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $204.17 | Professional | None | $83.18 | $120.23 | $204.17 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $75.86 Median $263.03 Typical High $331.13 | Professional | None | $75.86 | $263.03 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $602.56 Typical High $1,096.48 | Facility | None | $213.80 | $602.56 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $281.84 Typical High $1,621.81 | Professional | None | $100.00 | $281.84 | $1,621.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $75.86 Median $363.08 Typical High $446.68 | Professional | None | $75.86 | $363.08 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $363.08 Typical High $891.25 | Professional | None | $295.12 | $363.08 | $891.25 |
Lucent Health Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,454.71 | Professional | None | $1,659.59 | $1,659.59 | $2,454.71 |
Molina Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Providence Setting Facility Modifier None Typical Low $120.23 Median $446.68 Typical High $1,047.13 | Facility | None | $120.23 | $446.68 | $1,047.13 |
Providence Setting Professional Modifier None Typical Low $100.00 Median $363.08 Typical High $1,621.81 | Professional | None | $100.00 | $363.08 | $1,621.81 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $331.13 | Facility | None | $138.04 | $138.04 | $331.13 |
United Setting Professional Modifier None Typical Low $77.62 Median $199.53 Typical High $1,318.26 | Professional | None | $77.62 | $199.53 | $1,318.26 |
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 $42.66 Median $64.57 Typical High $158.49 | Facility | 52 · Reduced service | $42.66 | $64.57 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $25.70 Typical High $63.10 | Facility | 53 · Discontinued | $16.98 | $25.70 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $42.66 Typical High $85.11 | Professional | 52 · Reduced service | $42.66 | $42.66 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $33.88 | Professional | 53 · Discontinued | $16.98 | $16.98 | $33.88 |
Where California sits
The same service costs 6.5 times more in Texas than in Kentucky. 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· 15th of 51
$331
TX $1,023KY $158
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.