How much rates vary
Facilitymedian $240 · 10th to 90th $95 to $575Professionalmedian $138 · 10th to 90th $48 to $1,023
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 $64.57 Median $64.57 Typical High $79.43 | Facility | None | $64.57 | $64.57 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $138.04 | Professional | None | $64.57 | $64.57 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $245.47 Typical High $676.08 | Facility | None | $169.82 | $245.47 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $83.18 Typical High $524.81 | Professional | None | $44.67 | $83.18 | $524.81 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $323.59 Typical High $407.38 | Facility | None | $100.00 | $323.59 | $407.38 |
Blue Shield Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $134.90 | Professional | None | $33.88 | $47.86 | $134.90 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $109.65 Median $123.03 Typical High $234.42 | Professional | None | $109.65 | $123.03 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $245.47 Typical High $457.09 | Facility | None | $100.00 | $245.47 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $162.18 Typical High $676.08 | Professional | None | $74.13 | $162.18 | $676.08 |
Contra Costa Health Setting Professional Modifier None Typical Low $138.04 Median $151.36 Typical High $186.21 | Professional | None | $138.04 | $151.36 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $158.49 Typical High $363.08 | Professional | None | $123.03 | $158.49 | $363.08 |
Lucent Health Setting Professional Modifier None Typical Low $691.83 Median $1,023.29 Typical High $1,023.29 | Professional | None | $691.83 | $1,023.29 | $1,023.29 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $181.97 Typical High $416.87 | Facility | None | $93.33 | $181.97 | $416.87 |
Providence Setting Professional Modifier None Typical Low $74.13 Median $162.18 Typical High $676.08 | Professional | None | $74.13 | $162.18 | $676.08 |
Sutter Health Plus Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $138.04 | Facility | None | $57.54 | $57.54 | $138.04 |
United Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $602.56 | Professional | None | $57.54 | $81.28 | $602.56 |
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 $32.36 Median $50.12 Typical High $123.03 | Facility | 52 · Reduced service | $32.36 | $50.12 | $123.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.88 Median $19.95 Typical High $48.98 | Facility | 53 · Discontinued | $12.88 | $19.95 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $32.36 Typical High $45.71 | Professional | 52 · Reduced service | $32.36 | $32.36 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $18.20 | Professional | 53 · Discontinued | $12.88 | $12.88 | $18.20 |
Where California sits
The same service costs 4.9 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· 19th of 51
$141
AK $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.