How much rates vary
Facilitymedian $708 · 10th to 90th $347 to $1,698Professionalmedian $550 · 10th to 90th $170 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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $478.63 Typical High $478.63 | Professional | None | $346.74 | $478.63 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $724.44 Typical High $1,995.26 | Facility | None | $501.19 | $724.44 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $758.58 Typical High $1,548.82 | Professional | None | $512.86 | $758.58 | $1,548.82 |
Blue Shield Setting Facility Modifier None Typical Low $295.12 Median $954.99 Typical High $1,202.26 | Facility | None | $295.12 | $954.99 | $1,202.26 |
Blue Shield Setting Professional Modifier None Typical Low $138.04 Median $194.98 Typical High $616.60 | Professional | None | $138.04 | $194.98 | $616.60 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $245.47 Median $323.59 Typical High $407.38 | Professional | None | $245.47 | $323.59 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $724.44 Typical High $1,348.96 | Facility | None | $263.03 | $724.44 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $426.58 Typical High $1,995.26 | Professional | None | $162.18 | $426.58 | $1,995.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $239.88 Median $446.68 Typical High $549.54 | Professional | None | $239.88 | $446.68 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $446.68 Typical High $1,071.52 | Professional | None | $363.08 | $446.68 | $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 $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Providence Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $1,288.25 | Facility | None | $263.03 | $660.69 | $1,288.25 |
Providence Setting Professional Modifier None Typical Low $162.18 Median $446.68 Typical High $1,995.26 | Professional | None | $162.18 | $446.68 | $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 $407.38 | Facility | None | $169.82 | $169.82 | $407.38 |
United Setting Professional Modifier None Typical Low $125.89 Median $239.88 Typical High $1,584.89 | Professional | None | $125.89 | $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 $239.88 Median $363.08 Typical High $891.25 | Facility | 52 · Reduced service | $239.88 | $363.08 | $891.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $95.50 Median $144.54 Typical High $354.81 | Facility | 53 · Discontinued | $95.50 | $144.54 | $354.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $173.78 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $69.18 | $95.50 | $95.50 |
Where California sits
The same service costs 5.2 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
$589
AK $912AL $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.