How much rates vary
Facilitymedian $708 · 10th to 90th $380 to $1,698Professionalmedian $468 · 10th to 90th $240 to $3,020
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 $407.38 Median $457.09 Typical High $467.74 | Facility | None | $407.38 | $457.09 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $467.74 Typical High $467.74 | Professional | None | $380.19 | $467.74 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $724.44 Typical High $1,995.26 | Facility | None | $489.78 | $724.44 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $436.52 Typical High $1,737.80 | Professional | None | $234.42 | $436.52 | $1,737.80 |
Blue Shield Setting Facility Modifier None Typical Low $288.40 Median $933.25 Typical High $1,174.90 | Facility | None | $288.40 | $933.25 | $1,174.90 |
Blue Shield Setting Professional Modifier None Typical Low $251.19 Median $354.81 Typical High $1,122.02 | Professional | None | $251.19 | $354.81 | $1,122.02 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $602.56 | Professional | None | $323.59 | $363.08 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $724.44 Typical High $1,412.54 | Facility | None | $346.74 | $724.44 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $436.52 Typical High $2,137.96 | Professional | None | $239.88 | $436.52 | $2,137.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $537.03 | Professional | None | $354.81 | $446.68 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $467.74 Typical High $1,071.52 | Professional | None | $363.08 | $467.74 | $1,071.52 |
Lucent Health Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,019.95 | Professional | None | $1,995.26 | $1,995.26 | $3,019.95 |
Molina Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Providence Setting Facility Modifier None Typical Low $380.19 Median $645.65 Typical High $1,318.26 | Facility | None | $380.19 | $645.65 | $1,318.26 |
Providence Setting Professional Modifier None Typical Low $263.03 Median $478.63 Typical High $1,995.26 | Professional | None | $263.03 | $478.63 | $1,995.26 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $398.11 | Facility | None | $169.82 | $169.82 | $398.11 |
United Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $1,584.89 | Professional | None | $169.82 | $239.88 | $1,584.89 |
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 $204.17 Median $354.81 Typical High $851.14 | Facility | 52 · Reduced service | $204.17 | $354.81 | $851.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $83.18 Median $141.25 Typical High $338.84 | Facility | 53 · Discontinued | $83.18 | $141.25 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $190.55 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $75.86 | $93.33 | $93.33 |
Where California sits
The same service costs 3.8 times more in Texas 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· 9th of 51
$525
TX $1,072DE $282
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.