How much rates vary
Facilitymedian $316 · 10th to 90th $151 to $741Professionalmedian $234 · 10th to 90th $110 to $1,318
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $316.23 Typical High $870.96 | Facility | None | $218.78 | $316.23 | $870.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $151.36 Median $257.04 Typical High $758.58 | Professional | None | $151.36 | $257.04 | $758.58 |
Blue Shield Setting Facility Modifier None Typical Low $128.82 Median $416.87 Typical High $524.81 | Facility | None | $128.82 | $416.87 | $524.81 |
Blue Shield Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $501.19 | Professional | None | $109.65 | $158.49 | $501.19 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $269.15 | Professional | None | $141.25 | $158.49 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $316.23 Typical High $630.96 | Facility | None | $151.36 | $316.23 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $190.55 Typical High $954.99 | Professional | None | $104.71 | $190.55 | $954.99 |
Contra Costa Health Setting Professional Modifier None Typical Low $158.49 Median $194.98 Typical High $239.88 | Professional | None | $158.49 | $194.98 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $478.63 | Professional | None | $158.49 | $204.17 | $478.63 |
Lucent Health Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,318.26 | Professional | None | $891.25 | $891.25 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Providence Setting Facility Modifier None Typical Low $151.36 Median $245.47 Typical High $588.84 | Facility | None | $151.36 | $245.47 | $588.84 |
Providence Setting Professional Modifier None Typical Low $104.71 Median $194.98 Typical High $870.96 | Professional | None | $104.71 | $194.98 | $870.96 |
Sutter Health Plus Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $177.83 | Facility | None | $74.13 | $74.13 | $177.83 |
United Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $707.95 | Professional | None | $74.13 | $107.15 | $707.95 |
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 $70.79 Median $109.65 Typical High $269.15 | Facility | 52 · Reduced service | $70.79 | $109.65 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $43.65 Typical High $107.15 | Facility | 53 · Discontinued | $28.18 | $43.65 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $75.86 | Professional | 52 · Reduced service | $70.79 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $30.20 | Professional | 53 · Discontinued | $28.18 | $28.18 | $30.20 |
Where California sits
The same service costs 3.4 times more in Alaska than in Delaware. 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
$257
AK $398DE $117
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.