How much rates vary
Facilitymedian $263 · 10th to 90th $117 to $631Professionalmedian $178 · 10th to 90th $69 to $1,122
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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $269.15 Typical High $741.31 | Facility | None | $186.21 | $269.15 | $741.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $194.98 Typical High $575.44 | Professional | None | $104.71 | $194.98 | $575.44 |
Blue Shield Setting Facility Modifier None Typical Low $109.65 Median $354.81 Typical High $446.68 | Facility | None | $109.65 | $354.81 | $446.68 |
Blue Shield Setting Professional Modifier None Typical Low $64.57 Median $91.20 Typical High $245.47 | Professional | None | $64.57 | $91.20 | $245.47 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $257.04 | Professional | None | $120.23 | $134.90 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $269.15 Typical High $501.19 | Facility | None | $114.82 | $269.15 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $177.83 Typical High $741.31 | Professional | None | $81.28 | $177.83 | $741.31 |
Contra Costa Health Setting Professional Modifier None Typical Low $151.36 Median $165.96 Typical High $204.17 | Professional | None | $151.36 | $165.96 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $173.78 Typical High $398.11 | Professional | None | $134.90 | $173.78 | $398.11 |
Lucent Health Setting Professional Modifier None Typical Low $758.58 Median $1,122.02 Typical High $1,122.02 | Professional | None | $758.58 | $1,122.02 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Providence Setting Facility Modifier None Typical Low $123.03 Median $208.93 Typical High $467.74 | Facility | None | $123.03 | $208.93 | $467.74 |
Providence Setting Professional Modifier None Typical Low $81.28 Median $186.21 Typical High $741.31 | Professional | None | $81.28 | $186.21 | $741.31 |
Sutter Health Plus Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
United Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $151.36 | Facility | None | $63.10 | $63.10 | $151.36 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $660.69 | Professional | None | $63.10 | $91.20 | $660.69 |
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 $50.12 Median $75.86 Typical High $186.21 | Facility | 52 · Reduced service | $50.12 | $75.86 | $186.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $30.20 Typical High $74.13 | Facility | 53 · Discontinued | $19.95 | $30.20 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $50.12 Typical High $53.70 | Professional | 52 · Reduced service | $50.12 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $21.88 | Professional | 53 · Discontinued | $19.95 | $19.95 | $21.88 |
Where California sits
The same service costs 5.4 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· 8th of 51
$195
AK $339AL $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.