How much rates vary
Facilitymedian $1,778 · 10th to 90th $794 to $5,754Professionalmedian $977 · 10th to 90th $407 to $8,913
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 $870.96 Median $2,511.89 Typical High $6,025.60 | Facility | None | $870.96 | $2,511.89 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $977.24 Typical High $977.24 | Professional | None | $870.96 | $977.24 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $363.08 Median $3,467.37 Typical High $5,888.44 | Facility | None | $363.08 | $3,467.37 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $407.38 Typical High $977.24 | Professional | None | $181.97 | $407.38 | $977.24 |
Blue Shield Setting Facility Modifier None Typical Low $831.76 Median $2,187.76 Typical High $3,388.44 | Facility | None | $831.76 | $2,187.76 | $3,388.44 |
Blue Shield Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $2,041.74 | Professional | None | $549.54 | $776.25 | $2,041.74 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $954.99 Median $1,071.52 Typical High $2,041.74 | Professional | None | $954.99 | $1,071.52 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,584.89 Typical High $3,890.45 | Facility | None | $794.33 | $1,584.89 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $2,089.30 Typical High $6,456.54 | Professional | None | $602.56 | $2,089.30 | $6,456.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,318.26 Typical High $1,621.81 | Professional | None | $1,202.26 | $1,318.26 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $3,162.28 | Professional | None | $1,071.52 | $1,318.26 | $3,162.28 |
Lucent Health Setting Professional Modifier None Typical Low $6,025.60 Median $8,912.51 Typical High $8,912.51 | Professional | None | $6,025.60 | $8,912.51 | $8,912.51 |
Providence Setting Facility Modifier None Typical Low $977.24 Median $1,412.54 Typical High $3,162.28 | Facility | None | $977.24 | $1,412.54 | $3,162.28 |
Providence Setting Professional Modifier None Typical Low $707.95 Median $1,621.81 Typical High $6,456.54 | Professional | None | $707.95 | $1,621.81 | $6,456.54 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $1,202.26 | Facility | None | $501.19 | $501.19 | $1,202.26 |
United Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $5,128.61 | Professional | None | $489.78 | $691.83 | $5,128.61 |
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 $436.52 Median $1,258.93 Typical High $3,019.95 | Facility | 52 · Reduced service | $436.52 | $1,258.93 | $3,019.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $173.78 Median $501.19 Typical High $1,202.26 | Facility | 53 · Discontinued | $173.78 | $501.19 | $1,202.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $436.52 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $173.78 | $194.98 | $194.98 |
Where California sits
The same service costs 5.4 times more in Alaska 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· 25th of 51
$1,072
AK $2,630AL $490
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.