How much rates vary
Facilitymedian $525 · 10th to 90th $229 to $1,259Professionalmedian $457 · 10th to 90th $174 to $2,239
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 $173.78 Median $173.78 Typical High $218.78 | Facility | None | $173.78 | $173.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $457.09 | Professional | None | $173.78 | $173.78 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $537.03 Typical High $1,479.11 | Facility | None | $371.54 | $537.03 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $524.81 Typical High $1,174.90 | Professional | None | $338.84 | $524.81 | $1,174.90 |
Blue Shield Setting Facility Modifier None Typical Low $218.78 Median $707.95 Typical High $891.25 | Facility | None | $218.78 | $707.95 | $891.25 |
Blue Shield Setting Professional Modifier None Typical Low $281.84 Median $398.11 Typical High $1,071.52 | Professional | None | $281.84 | $398.11 | $1,071.52 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $512.86 | Professional | None | $239.88 | $269.15 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $537.03 Typical High $1,000.00 | Facility | None | $229.09 | $537.03 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $354.81 Typical High $1,479.11 | Professional | None | $162.18 | $354.81 | $1,479.11 |
Contra Costa Health Setting Professional Modifier None Typical Low $302.00 Median $331.13 Typical High $407.38 | Professional | None | $302.00 | $331.13 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $758.58 | Professional | None | $269.15 | $346.74 | $758.58 |
Lucent Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $2,238.72 | Professional | None | $1,513.56 | $2,238.72 | $2,238.72 |
Molina Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Providence Setting Facility Modifier None Typical Low $239.88 Median $416.87 Typical High $954.99 | Facility | None | $239.88 | $416.87 | $954.99 |
Providence Setting Professional Modifier None Typical Low $165.96 Median $380.19 Typical High $1,479.11 | Professional | None | $165.96 | $380.19 | $1,479.11 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
United Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $302.00 | Facility | None | $125.89 | $125.89 | $302.00 |
United Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $1,318.26 | Professional | None | $125.89 | $181.97 | $1,318.26 |
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 $87.10 Median $134.90 Typical High $331.13 | Facility | 52 · Reduced service | $87.10 | $134.90 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $53.70 Typical High $131.83 | Facility | 53 · Discontinued | $34.67 | $53.70 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | 52 · Reduced service | $87.10 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | 53 · Discontinued | $34.67 | $34.67 | $40.74 |
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· 5th of 51
$468
AK $676AL $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.