How much rates vary
Facilitymedian $363 · 10th to 90th $174 to $851Professionalmedian $562 · 10th to 90th $100 to $1,514
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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $363.08 Typical High $1,000.00 | Facility | None | $251.19 | $363.08 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $741.31 Typical High $1,548.82 | Professional | None | $331.13 | $741.31 | $1,548.82 |
Blue Shield Setting Facility Modifier None Typical Low $147.91 Median $478.63 Typical High $602.56 | Facility | None | $147.91 | $478.63 | $602.56 |
Blue Shield Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $812.83 | Professional | None | $100.00 | $144.54 | $812.83 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $162.18 Median $181.97 Typical High $275.42 | Professional | None | $162.18 | $181.97 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $363.08 Typical High $676.08 | Facility | None | $154.88 | $363.08 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $218.78 Typical High $1,000.00 | Professional | None | $112.20 | $218.78 | $1,000.00 |
Contra Costa Health Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $275.42 | Professional | None | $162.18 | $223.87 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $223.87 Typical High $549.54 | Professional | None | $181.97 | $223.87 | $549.54 |
Lucent Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,513.56 | Professional | None | $1,023.29 | $1,023.29 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Providence Setting Facility Modifier None Typical Low $173.78 Median $281.84 Typical High $645.65 | Facility | None | $173.78 | $281.84 | $645.65 |
Providence Setting Professional Modifier None Typical Low $120.23 Median $223.87 Typical High $1,000.00 | Professional | None | $120.23 | $223.87 | $1,000.00 |
Sutter Health Plus Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $204.17 | Facility | None | $85.11 | $85.11 | $204.17 |
United Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $812.83 | Professional | None | $85.11 | $123.03 | $812.83 |
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 $87.10 Median $131.83 Typical High $323.59 | Facility | 52 · Reduced service | $87.10 | $131.83 | $323.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $52.48 Typical High $128.82 | Facility | 53 · Discontinued | $34.67 | $52.48 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Where California sits
The same service costs 3.8 times more in Texas than in Nebraska. 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· 2nd of 51
$457
TX $513NE $135
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.