How much rates vary
Facilitymedian $1,202 · 10th to 90th $550 to $6,166Professionalmedian $661 · 10th to 90th $288 to $3,020
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 $602.56 Median $1,230.27 Typical High $4,073.80 | Facility | None | $602.56 | $1,230.27 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $676.08 Typical High $676.08 | Professional | None | $501.19 | $676.08 | $676.08 |
Ambetter Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,047.13 Typical High $2,884.03 | Facility | None | $724.44 | $1,047.13 | $2,884.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $407.38 Typical High $2,344.23 | Professional | None | $288.40 | $407.38 | $2,344.23 |
Blue Shield Setting Facility Modifier None Typical Low $1,023.29 Median $4,570.88 Typical High $8,709.64 | Facility | None | $1,023.29 | $4,570.88 | $8,709.64 |
Blue Shield Setting Professional Modifier None Typical Low $363.08 Median $524.81 Typical High $1,000.00 | Professional | None | $363.08 | $524.81 | $1,000.00 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $724.44 | Professional | None | $467.74 | $467.74 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $954.99 Typical High $1,995.26 | Facility | None | $407.38 | $954.99 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $691.83 Typical High $2,884.03 | Professional | None | $380.19 | $691.83 | $2,884.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $645.65 | Professional | None | $524.81 | $645.65 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $1,548.82 | Professional | None | $524.81 | $645.65 | $1,548.82 |
Lucent Health Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $4,365.16 | Professional | None | $2,951.21 | $2,951.21 | $4,365.16 |
Molina Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $588.84 | Professional | None | $295.12 | $295.12 | $588.84 |
Providence Setting Facility Modifier None Typical Low $501.19 Median $776.25 Typical High $2,041.74 | Facility | None | $501.19 | $776.25 | $2,041.74 |
Providence Setting Professional Modifier None Typical Low $380.19 Median $660.69 Typical High $2,884.03 | Professional | None | $380.19 | $660.69 | $2,884.03 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $588.84 | Facility | None | $245.47 | $245.47 | $588.84 |
United Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $2,290.87 | Professional | None | $245.47 | $354.81 | $2,290.87 |
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 $302.00 Median $616.60 Typical High $2,041.74 | Facility | 52 · Reduced service | $302.00 | $616.60 | $2,041.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $120.23 Median $245.47 Typical High $812.83 | Facility | 53 · Discontinued | $120.23 | $245.47 | $812.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $263.03 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $104.71 | $134.90 | $134.90 |
Where California sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 12th of 51
$676
AK $1,318DE $417
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.