How much rates vary
Facilitymedian $229 · 10th to 90th $115 to $537Professionalmedian $186 · 10th to 90th $69 to $955
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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $162.18 Typical High $162.18 | Professional | None | $109.65 | $162.18 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $229.09 Typical High $630.96 | Facility | None | $158.49 | $229.09 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $489.78 | Professional | None | $173.78 | $263.03 | $489.78 |
Blue Shield Setting Facility Modifier None Typical Low $91.20 Median $295.12 Typical High $380.19 | Facility | None | $91.20 | $295.12 | $380.19 |
Blue Shield Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $309.03 | Professional | None | $69.18 | $97.72 | $309.03 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $173.78 | Professional | None | $102.33 | $114.82 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $229.09 Typical High $426.58 | Facility | None | $104.71 | $229.09 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $134.90 Typical High $630.96 | Professional | None | $69.18 | $134.90 | $630.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $173.78 | Professional | None | $102.33 | $141.25 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $147.91 Typical High $338.84 | Professional | None | $114.82 | $147.91 | $338.84 |
Lucent Health Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $954.99 | Professional | None | $630.96 | $630.96 | $954.99 |
Molina Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Providence Setting Facility Modifier None Typical Low $112.20 Median $218.78 Typical High $407.38 | Facility | None | $112.20 | $218.78 | $407.38 |
Providence Setting Professional Modifier None Typical Low $74.13 Median $141.25 Typical High $630.96 | Professional | None | $74.13 | $141.25 | $630.96 |
Sutter Health Plus Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
United Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $128.82 | Facility | None | $53.70 | $53.70 | $128.82 |
United Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $501.19 | Professional | None | $53.70 | $75.86 | $501.19 |
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 $81.28 Median $123.03 Typical High $302.00 | Facility | 52 · Reduced service | $81.28 | $123.03 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $32.36 Median $48.98 Typical High $120.23 | Facility | 53 · Discontinued | $32.36 | $48.98 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $54.95 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $21.88 | $32.36 | $32.36 |
Where California sits
The same service costs 4.6 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
$204
AK $288AL $63.10
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.