How much rates vary
Facilitymedian $603 · 10th to 90th $324 to $1,445Professionalmedian $646 · 10th to 90th $214 to $2,570
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 $354.81 Median $389.05 Typical High $398.11 | Facility | None | $354.81 | $389.05 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $446.68 | Professional | None | $354.81 | $398.11 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $616.60 Typical High $1,698.24 | Facility | None | $426.58 | $616.60 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $1,621.81 | Professional | None | $645.65 | $891.25 | $1,621.81 |
Blue Shield Setting Facility Modifier None Typical Low $251.19 Median $812.83 Typical High $1,023.29 | Facility | None | $251.19 | $812.83 | $1,023.29 |
Blue Shield Setting Professional Modifier None Typical Low $213.80 Median $309.03 Typical High $977.24 | Professional | None | $213.80 | $309.03 | $977.24 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $275.42 Median $309.03 Typical High $524.81 | Professional | None | $275.42 | $309.03 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $616.60 Typical High $1,202.26 | Facility | None | $295.12 | $616.60 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $371.54 Typical High $1,862.09 | Professional | None | $204.17 | $371.54 | $1,862.09 |
Contra Costa Health Setting Professional Modifier None Typical Low $309.03 Median $380.19 Typical High $467.74 | Professional | None | $309.03 | $380.19 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $933.25 | Professional | None | $309.03 | $398.11 | $933.25 |
Lucent Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,570.40 | Professional | None | $1,737.80 | $1,737.80 | $2,570.40 |
Molina Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Providence Setting Facility Modifier None Typical Low $323.59 Median $562.34 Typical High $1,122.02 | Facility | None | $323.59 | $562.34 | $1,122.02 |
Providence Setting Professional Modifier None Typical Low $204.17 Median $380.19 Typical High $1,698.24 | Professional | None | $204.17 | $380.19 | $1,698.24 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $346.74 | Facility | None | $144.54 | $144.54 | $346.74 |
United Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $1,380.38 | Professional | None | $144.54 | $208.93 | $1,380.38 |
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 $177.83 Median $309.03 Typical High $724.44 | Facility | 52 · Reduced service | $177.83 | $309.03 | $724.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $70.79 Median $123.03 Typical High $295.12 | Facility | 53 · Discontinued | $70.79 | $123.03 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $162.18 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $64.57 | $79.43 | $79.43 |
Where California sits
The same service costs 4.6 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· 4th of 51
$646
TX $794AL $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.