How much rates vary
Facilitymedian $832 · 10th to 90th $355 to $1,820Professionalmedian $490 · 10th to 90th $200 to $3,802
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 $380.19 Median $426.58 Typical High $426.58 | Facility | None | $380.19 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $426.58 Typical High $426.58 | Professional | None | $380.19 | $426.58 | $426.58 |
Ambetter Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $302.00 | Professional | None | $199.53 | $199.53 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $616.60 Median $912.01 Typical High $2,511.89 | Facility | None | $616.60 | $912.01 | $2,511.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $346.74 Typical High $5,888.44 | Professional | None | $199.53 | $346.74 | $5,888.44 |
Blue Shield Setting Facility Modifier None Typical Low $363.08 Median $1,174.90 Typical High $1,479.11 | Facility | None | $363.08 | $1,174.90 | $1,479.11 |
Blue Shield Setting Professional Modifier None Typical Low $229.09 Median $331.13 Typical High $630.96 | Professional | None | $229.09 | $331.13 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $891.25 Typical High $1,698.24 | Facility | None | $354.81 | $891.25 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $549.54 Typical High $2,454.71 | Professional | None | $269.15 | $549.54 | $2,454.71 |
Contra Costa Health Setting Professional Modifier None Typical Low $501.19 Median $549.54 Typical High $549.54 | Professional | None | $501.19 | $549.54 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $1,348.96 | Professional | None | $457.09 | $549.54 | $1,348.96 |
Lucent Health Setting Professional Modifier None Typical Low $2,511.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $2,511.89 | $3,801.89 | $3,801.89 |
Molina Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Providence Setting Facility Modifier None Typical Low $331.13 Median $549.54 Typical High $1,318.26 | Facility | None | $331.13 | $549.54 | $1,318.26 |
Providence Setting Professional Modifier None Typical Low $275.42 Median $549.54 Typical High $2,454.71 | Professional | None | $275.42 | $549.54 | $2,454.71 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $501.19 | Facility | None | $213.80 | $213.80 | $501.19 |
United Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $1,949.84 | Professional | None | $213.80 | $302.00 | $1,949.84 |
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 $208.93 Median $549.54 Typical High $1,318.26 | Facility | 52 · Reduced service | $208.93 | $549.54 | $1,318.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $83.18 Median $218.78 Typical High $524.81 | Facility | 53 · Discontinued | $83.18 | $218.78 | $524.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $190.55 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $75.86 | $85.11 | $85.11 |
Where California sits
The same service costs 3.7 times more in Alaska than in Georgia. 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
$513
AK $1,122GA $302
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.