How much rates vary
Facilitymedian $214 · 10th to 90th $105 to $513Professionalmedian $162 · 10th to 90th $76 to $912
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 $95.50 Median $95.50 Typical High $100.00 | Facility | None | $95.50 | $95.50 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $169.82 | Professional | None | $95.50 | $95.50 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $218.78 Typical High $602.56 | Facility | None | $151.36 | $218.78 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $177.83 Typical High $524.81 | Professional | None | $107.15 | $177.83 | $524.81 |
Blue Shield Setting Facility Modifier None Typical Low $89.13 Median $288.40 Typical High $363.08 | Facility | None | $89.13 | $288.40 | $363.08 |
Blue Shield Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $338.84 | Professional | None | $75.86 | $107.15 | $338.84 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $186.21 | Professional | None | $97.72 | $109.65 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $218.78 Typical High $436.52 | Facility | None | $104.71 | $218.78 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $131.83 Typical High $660.69 | Professional | None | $72.44 | $131.83 | $660.69 |
Contra Costa Health Setting Professional Modifier None Typical Low $109.65 Median $134.90 Typical High $165.96 | Professional | None | $109.65 | $134.90 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $323.59 | Professional | None | $109.65 | $141.25 | $323.59 |
Lucent Health Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $912.01 | Professional | None | $616.60 | $616.60 | $912.01 |
Molina Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Providence Setting Facility Modifier None Typical Low $104.71 Median $169.82 Typical High $407.38 | Facility | None | $104.71 | $169.82 | $407.38 |
Providence Setting Professional Modifier None Typical Low $72.44 Median $134.90 Typical High $602.56 | Professional | None | $72.44 | $134.90 | $602.56 |
Sutter Health Plus Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $123.03 | Facility | None | $51.29 | $51.29 | $123.03 |
United Setting Professional Modifier None Typical Low $51.29 Median $74.13 Typical High $478.63 | Professional | None | $51.29 | $74.13 | $478.63 |
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 $47.86 Median $72.44 Typical High $177.83 | Facility | 52 · Reduced service | $47.86 | $72.44 | $177.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $28.84 Typical High $70.79 | Facility | 53 · Discontinued | $19.05 | $28.84 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $47.86 Typical High $52.48 | Professional | 52 · Reduced service | $47.86 | $47.86 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $20.89 | Professional | 53 · Discontinued | $19.05 | $19.05 | $20.89 |
Where California sits
The same service costs 4.9 times more in Texas 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· 7th of 51
$170
TX $309AL $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.