How much rates vary
Facilitymedian $525 · 10th to 90th $245 to $1,259Professionalmedian $347 · 10th to 90th $145 to $2,188
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 $239.88 Median $630.96 Typical High $1,513.56 | Facility | None | $239.88 | $630.96 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $245.47 Typical High $245.47 | Professional | None | $218.78 | $245.47 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $363.08 Median $524.81 Typical High $1,445.44 | Facility | None | $363.08 | $524.81 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $398.11 Typical High $1,230.27 | Professional | None | $144.54 | $398.11 | $1,230.27 |
Blue Shield Setting Facility Modifier None Typical Low $208.93 Median $549.54 Typical High $851.14 | Facility | None | $208.93 | $549.54 | $851.14 |
Blue Shield Setting Professional Modifier None Typical Low $131.83 Median $190.55 Typical High $501.19 | Professional | None | $131.83 | $190.55 | $501.19 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $398.11 | Professional | None | $234.42 | $263.03 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $524.81 Typical High $977.24 | Facility | None | $208.93 | $524.81 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $316.23 Typical High $1,445.44 | Professional | None | $154.88 | $316.23 | $1,445.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $234.42 Median $323.59 Typical High $389.05 | Professional | None | $234.42 | $323.59 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $776.25 | Professional | None | $263.03 | $338.84 | $776.25 |
Lucent Health Setting Professional Modifier None Typical Low $1,445.44 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,445.44 | $2,187.76 | $2,187.76 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $389.05 Typical High $891.25 | Facility | None | $229.09 | $389.05 | $891.25 |
Providence Setting Professional Modifier None Typical Low $154.88 Median $323.59 Typical High $1,445.44 | Professional | None | $154.88 | $323.59 | $1,445.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $288.40 | Facility | None | $123.03 | $123.03 | $288.40 |
United Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $1,288.25 | Professional | None | $123.03 | $173.78 | $1,288.25 |
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 $120.23 Median $316.23 Typical High $758.58 | Facility | 52 · Reduced service | $120.23 | $316.23 | $758.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $125.89 Typical High $302.00 | Facility | 53 · Discontinued | $47.86 | $125.89 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $109.65 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $43.65 | $48.98 | $48.98 |
Where California sits
The same service costs 4.5 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· 6th of 51
$389
TX $776DE $174
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.