How much rates vary
Facilitymedian $537 · 10th to 90th $257 to $1,318Professionalmedian $363 · 10th to 90th $151 to $2,239
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 $251.19 Median $645.65 Typical High $1,548.82 | Facility | None | $251.19 | $645.65 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $257.04 Typical High $257.04 | Professional | None | $223.87 | $257.04 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $537.03 Typical High $1,479.11 | Facility | None | $371.54 | $537.03 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $151.36 Median $416.87 Typical High $1,258.93 | Professional | None | $151.36 | $416.87 | $1,258.93 |
Blue Shield Setting Facility Modifier None Typical Low $218.78 Median $562.34 Typical High $891.25 | Facility | None | $218.78 | $562.34 | $891.25 |
Blue Shield Setting Professional Modifier None Typical Low $138.04 Median $194.98 Typical High $524.81 | Professional | None | $138.04 | $194.98 | $524.81 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $407.38 | Professional | None | $239.88 | $269.15 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $537.03 Typical High $1,000.00 | Facility | None | $213.80 | $537.03 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $323.59 Typical High $1,479.11 | Professional | None | $162.18 | $323.59 | $1,479.11 |
Contra Costa Health Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $407.38 | Professional | None | $239.88 | $331.13 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $812.83 | Professional | None | $269.15 | $346.74 | $812.83 |
Lucent Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $2,238.72 | Professional | None | $1,513.56 | $2,238.72 | $2,238.72 |
Providence Setting Facility Modifier None Typical Low $239.88 Median $407.38 Typical High $912.01 | Facility | None | $239.88 | $407.38 | $912.01 |
Providence Setting Professional Modifier None Typical Low $162.18 Median $338.84 Typical High $1,479.11 | Professional | None | $162.18 | $338.84 | $1,479.11 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
United Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $302.00 | Facility | None | $125.89 | $125.89 | $302.00 |
United Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $1,318.26 | Professional | None | $125.89 | $181.97 | $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 $125.89 Median $323.59 Typical High $776.25 | Facility | 52 · Reduced service | $125.89 | $323.59 | $776.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $50.12 Median $131.83 Typical High $309.03 | Facility | 53 · Discontinued | $50.12 | $131.83 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $112.20 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $45.71 | $51.29 | $51.29 |
Where California sits
The same service costs 4.7 times more in Texas than in Alabama. 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
$407
TX $813AL $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.