How much rates vary
Facilitymedian $355 · 10th to 90th $174 to $851Professionalmedian $224 · 10th to 90th $110 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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $363.08 Typical High $1,000.00 | Facility | None | $245.47 | $363.08 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $190.55 Typical High $870.96 | Professional | None | $102.33 | $190.55 | $870.96 |
Blue Shield Setting Facility Modifier None Typical Low $144.54 Median $467.74 Typical High $588.84 | Facility | None | $144.54 | $467.74 | $588.84 |
Blue Shield Setting Professional Modifier None Typical Low $125.89 Median $177.83 Typical High $323.59 | Professional | None | $125.89 | $177.83 | $323.59 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $199.53 | Professional | None | $120.23 | $162.18 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $363.08 Typical High $691.83 | Facility | None | $173.78 | $363.08 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $218.78 Typical High $1,096.48 | Professional | None | $120.23 | $218.78 | $1,096.48 |
Contra Costa Health Setting Professional Modifier None Typical Low $117.49 Median $223.87 Typical High $269.15 | Professional | None | $117.49 | $223.87 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $229.09 Typical High $537.03 | Professional | None | $181.97 | $229.09 | $537.03 |
Lucent Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,513.56 | Professional | None | $1,000.00 | $1,000.00 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Providence Setting Facility Modifier None Typical Low $173.78 Median $281.84 Typical High $660.69 | Facility | None | $173.78 | $281.84 | $660.69 |
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 $199.53 | Facility | None | $85.11 | $85.11 | $199.53 |
United Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $794.33 | Professional | None | $85.11 | $120.23 | $794.33 |
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 $81.28 Median $123.03 Typical High $302.00 | Facility | 52 · Reduced service | $81.28 | $123.03 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $32.36 Median $48.98 Typical High $120.23 | Facility | 53 · Discontinued | $32.36 | $48.98 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $85.11 | Professional | 52 · Reduced service | $81.28 | $81.28 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $33.88 | Professional | 53 · Discontinued | $32.36 | $32.36 | $33.88 |
Where California sits
The same service costs 3.2 times more in Alaska 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· 10th of 51
$251
AK $457DE $141
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.