How much rates vary
Facilitymedian $692 · 10th to 90th $275 to $2,630Professionalmedian $407 · 10th to 90th $162 to $2,455
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 $269.15 Median $707.95 Typical High $1,698.24 | Facility | None | $269.15 | $707.95 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $275.42 Typical High $446.68 | Professional | None | $245.47 | $275.42 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $575.44 Typical High $1,584.89 | Facility | None | $398.11 | $575.44 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $467.74 Typical High $1,380.38 | Professional | None | $162.18 | $467.74 | $1,380.38 |
Blue Shield Setting Facility Modifier None Typical Low $426.58 Median $1,862.09 Typical High $3,548.13 | Facility | None | $426.58 | $1,862.09 | $3,548.13 |
Blue Shield Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $562.34 | Professional | None | $147.91 | $208.93 | $562.34 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $436.52 | Professional | None | $257.04 | $288.40 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $588.84 Typical High $1,096.48 | Facility | None | $229.09 | $588.84 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $354.81 Typical High $1,584.89 | Professional | None | $173.78 | $354.81 | $1,584.89 |
Contra Costa Health Setting Professional Modifier None Typical Low $257.04 Median $354.81 Typical High $436.52 | Professional | None | $257.04 | $354.81 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $870.96 | Professional | None | $295.12 | $354.81 | $870.96 |
Lucent Health Setting Professional Modifier None Typical Low $1,621.81 Median $2,454.71 Typical High $2,454.71 | Professional | None | $1,621.81 | $2,454.71 | $2,454.71 |
Molina Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Providence Setting Facility Modifier None Typical Low $263.03 Median $436.52 Typical High $1,000.00 | Facility | None | $263.03 | $436.52 | $1,000.00 |
Providence Setting Professional Modifier None Typical Low $173.78 Median $380.19 Typical High $1,584.89 | Professional | None | $173.78 | $380.19 | $1,584.89 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
United Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $323.59 | Facility | None | $134.90 | $134.90 | $323.59 |
United Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $1,445.44 | Professional | None | $134.90 | $194.98 | $1,445.44 |
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 $134.90 Median $354.81 Typical High $831.76 | Facility | 52 · Reduced service | $134.90 | $354.81 | $831.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $141.25 Typical High $338.84 | Facility | 53 · Discontinued | $53.70 | $141.25 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $123.03 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $48.98 | $54.95 | $54.95 |
Where California sits
The same service costs 4.2 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· 5th of 51
$447
AK $724AL $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.