How much rates vary
Facilitymedian $1,047 · 10th to 90th $490 to $2,239Professionalmedian $603 · 10th to 90th $275 to $4,467
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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $891.25 | Professional | None | $457.09 | $457.09 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,071.52 Typical High $2,951.21 | Facility | None | $741.31 | $1,071.52 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $549.54 Typical High $2,187.76 | Professional | None | $56.23 | $549.54 | $2,187.76 |
Blue Shield Setting Facility Modifier None Typical Low $436.52 Median $1,122.02 Typical High $1,778.28 | Facility | None | $436.52 | $1,122.02 | $1,778.28 |
Blue Shield Setting Professional Modifier None Typical Low $275.42 Median $389.05 Typical High $1,230.27 | Professional | None | $275.42 | $389.05 | $1,230.27 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $478.63 Median $537.03 Typical High $812.83 | Professional | None | $478.63 | $537.03 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,071.52 Typical High $1,995.26 | Facility | None | $426.58 | $1,071.52 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $645.65 Typical High $2,951.21 | Professional | None | $323.59 | $645.65 | $2,951.21 |
Contra Costa Health Setting Professional Modifier None Typical Low $478.63 Median $660.69 Typical High $812.83 | Professional | None | $478.63 | $660.69 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $1,584.89 | Professional | None | $537.03 | $660.69 | $1,584.89 |
Lucent Health Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $4,466.84 | Professional | None | $3,019.95 | $3,019.95 | $4,466.84 |
Molina Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Providence Setting Facility Modifier None Typical Low $457.09 Median $831.76 Typical High $1,819.70 | Facility | None | $457.09 | $831.76 | $1,819.70 |
Providence Setting Professional Modifier None Typical Low $323.59 Median $660.69 Typical High $2,951.21 | Professional | None | $323.59 | $660.69 | $2,951.21 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $602.56 | Facility | None | $251.19 | $251.19 | $602.56 |
United Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $2,344.23 | Professional | None | $251.19 | $363.08 | $2,344.23 |
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 $229.09 Median $346.74 Typical High $851.14 | Facility | 52 · Reduced service | $229.09 | $346.74 | $851.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $91.20 Median $138.04 Typical High $338.84 | Facility | 53 · Discontinued | $91.20 | $138.04 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $91.20 | $91.20 | $91.20 |
Where California sits
The same service costs 3.4 times more in Alaska 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· 17th of 51
$631
AK $1,349NE $398
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.