How much rates vary
Facilitymedian $813 · 10th to 90th $316 to $3,020Professionalmedian $468 · 10th to 90th $186 to $2,818
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 $309.03 Median $812.83 Typical High $1,949.84 | Facility | None | $309.03 | $812.83 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $316.23 Typical High $316.23 | Professional | None | $281.84 | $316.23 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $457.09 Median $676.08 Typical High $1,862.09 | Facility | None | $457.09 | $676.08 | $1,862.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $549.54 Typical High $1,584.89 | Professional | None | $186.21 | $549.54 | $1,584.89 |
Blue Shield Setting Facility Modifier None Typical Low $489.78 Median $2,137.96 Typical High $4,073.80 | Facility | None | $489.78 | $2,137.96 | $4,073.80 |
Blue Shield Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $645.65 | Professional | None | $169.82 | $245.47 | $645.65 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $302.00 Median $338.84 Typical High $512.86 | Professional | None | $302.00 | $338.84 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $676.08 Typical High $1,258.93 | Facility | None | $269.15 | $676.08 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $407.38 Typical High $1,862.09 | Professional | None | $199.53 | $407.38 | $1,862.09 |
Contra Costa Health Setting Professional Modifier None Typical Low $302.00 Median $416.87 Typical High $501.19 | Professional | None | $302.00 | $416.87 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $416.87 Typical High $1,000.00 | Professional | None | $338.84 | $416.87 | $1,000.00 |
Lucent Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,818.38 Typical High $2,818.38 | Professional | None | $1,862.09 | $2,818.38 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Providence Setting Facility Modifier None Typical Low $302.00 Median $501.19 Typical High $1,148.15 | Facility | None | $302.00 | $501.19 | $1,148.15 |
Providence Setting Professional Modifier None Typical Low $199.53 Median $436.52 Typical High $1,862.09 | Professional | None | $199.53 | $436.52 | $1,862.09 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $371.54 | Facility | None | $158.49 | $158.49 | $371.54 |
United Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $1,659.59 | Professional | None | $158.49 | $223.87 | $1,659.59 |
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 $154.88 Median $407.38 Typical High $977.24 | Facility | 52 · Reduced service | $154.88 | $407.38 | $977.24 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $61.66 Median $162.18 Typical High $389.05 | Facility | 53 · Discontinued | $61.66 | $162.18 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $141.25 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $56.23 | $63.10 | $63.10 |
Where California sits
The same service costs 4.9 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· 4th of 51
$550
AK $851AL $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.