How much rates vary
Facilitymedian $389 · 10th to 90th $191 to $933Professionalmedian $295 · 10th to 90th $138 to $1,660
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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $398.11 Typical High $1,096.48 | Facility | None | $269.15 | $398.11 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $316.23 Typical High $954.99 | Professional | None | $186.21 | $316.23 | $954.99 |
Blue Shield Setting Facility Modifier None Typical Low $158.49 Median $512.86 Typical High $645.65 | Facility | None | $158.49 | $512.86 | $645.65 |
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 $177.83 Median $199.53 Typical High $331.13 | Professional | None | $177.83 | $199.53 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $398.11 Typical High $758.58 | Facility | None | $190.55 | $398.11 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $239.88 Typical High $1,174.90 | Professional | None | $131.83 | $239.88 | $1,174.90 |
Contra Costa Health Setting Professional Modifier None Typical Low $194.98 Median $245.47 Typical High $295.12 | Professional | None | $194.98 | $245.47 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $251.19 Typical High $588.84 | Professional | None | $199.53 | $251.19 | $588.84 |
Lucent Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,659.59 | Professional | None | $1,096.48 | $1,096.48 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Providence Setting Facility Modifier None Typical Low $190.55 Median $309.03 Typical High $707.95 | Facility | None | $190.55 | $309.03 | $707.95 |
Providence Setting Professional Modifier None Typical Low $131.83 Median $245.47 Typical High $1,096.48 | Professional | None | $131.83 | $245.47 | $1,096.48 |
Sutter Health Plus Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
United Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $218.78 | Facility | None | $93.33 | $93.33 | $218.78 |
United Setting Professional Modifier None Typical Low $93.33 Median $131.83 Typical High $870.96 | Professional | None | $93.33 | $131.83 | $870.96 |
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 $89.13 Median $138.04 Typical High $338.84 | Facility | 52 · Reduced service | $89.13 | $138.04 | $338.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $54.95 Typical High $134.90 | Facility | 53 · Discontinued | $35.48 | $54.95 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $93.33 | Professional | 52 · Reduced service | $89.13 | $89.13 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $38.02 | Professional | 53 · Discontinued | $35.48 | $35.48 | $38.02 |
Where California sits
The same service costs 3.1 times more in Alaska than in New Jersey. 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· 7th of 51
$316
AK $501NJ $162
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.