How much rates vary
Facilitymedian $191 · 10th to 90th $93 to $457Professionalmedian $135 · 10th to 90th $68 to $813
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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $85.11 | Professional | None | $69.18 | $69.18 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $194.98 Typical High $537.03 | Facility | None | $134.90 | $194.98 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $138.04 Typical High $467.74 | Professional | None | $74.13 | $138.04 | $467.74 |
Blue Shield Setting Facility Modifier None Typical Low $79.43 Median $257.04 Typical High $323.59 | Facility | None | $79.43 | $257.04 | $323.59 |
Blue Shield Setting Professional Modifier None Typical Low $67.61 Median $97.72 Typical High $309.03 | Professional | None | $67.61 | $97.72 | $309.03 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $87.10 Median $97.72 Typical High $165.96 | Professional | None | $87.10 | $97.72 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $194.98 Typical High $389.05 | Facility | None | $93.33 | $194.98 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $117.49 Typical High $588.84 | Professional | None | $64.57 | $117.49 | $588.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $97.72 Median $120.23 Typical High $147.91 | Professional | None | $97.72 | $120.23 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $125.89 Typical High $288.40 | Professional | None | $97.72 | $125.89 | $288.40 |
Lucent Health Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $812.83 | Professional | None | $549.54 | $549.54 | $812.83 |
Molina Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $151.36 Typical High $363.08 | Facility | None | $93.33 | $151.36 | $363.08 |
Providence Setting Professional Modifier None Typical Low $64.57 Median $120.23 Typical High $537.03 | Professional | None | $64.57 | $120.23 | $537.03 |
Sutter Health Plus Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $109.65 | Facility | None | $45.71 | $45.71 | $109.65 |
United Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $426.58 | Professional | None | $45.71 | $66.07 | $426.58 |
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 $34.67 Median $52.48 Typical High $128.82 | Facility | 52 · Reduced service | $34.67 | $52.48 | $128.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $21.38 Typical High $52.48 | Facility | 53 · Discontinued | $13.80 | $21.38 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $46.77 | Professional | 52 · Reduced service | $34.67 | $34.67 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $18.62 | Professional | 53 · Discontinued | $13.80 | $13.80 | $18.62 |
Where California sits
The same service costs 3.9 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· 10th of 51
$141
AK $245AL $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.