How much rates vary
Facilitymedian $1,778 · 10th to 90th $501 to $4,074Professionalmedian $794 · 10th to 90th $288 to $7,244
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 $501.19 Median $1,258.93 Typical High $3,090.30 | Facility | None | $501.19 | $1,258.93 | $3,090.30 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $741.31 | Professional | None | $501.19 | $501.19 | $741.31 |
Ambetter Setting Professional Modifier None Typical Low $354.81 Median $524.81 Typical High $1,318.26 | Professional | None | $354.81 | $524.81 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $2,344.23 Typical High $4,897.79 | Facility | None | $1,584.89 | $2,344.23 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $676.08 Typical High $5,888.44 | Professional | None | $288.40 | $676.08 | $5,888.44 |
Blue Shield Setting Facility Modifier None Typical Low $426.58 Median $1,380.38 Typical High $1,737.80 | Facility | None | $426.58 | $1,380.38 | $1,737.80 |
Blue Shield Setting Professional Modifier None Typical Low $363.08 Median $512.86 Typical High $1,023.29 | Professional | None | $363.08 | $512.86 | $1,023.29 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $660.69 Median $1,047.13 Typical High $1,174.90 | Professional | None | $660.69 | $1,047.13 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,348.96 Typical High $3,388.44 | Facility | None | $446.68 | $1,348.96 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $691.83 Typical High $2,884.03 | Professional | None | $346.74 | $691.83 | $2,884.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $588.84 Median $1,445.44 Typical High $1,445.44 | Professional | None | $588.84 | $1,445.44 | $1,445.44 |
HealthNet Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $3,019.95 | Professional | None | $1,174.90 | $1,445.44 | $3,019.95 |
Lucent Health Setting Professional Modifier None Typical Low $6,456.54 Median $9,772.37 Typical High $9,772.37 | Professional | None | $6,456.54 | $9,772.37 | $9,772.37 |
Molina Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,318.26 | Professional | None | $645.65 | $645.65 | $1,318.26 |
Providence Setting Facility Modifier None Typical Low $501.19 Median $1,318.26 Typical High $2,691.53 | Facility | None | $501.19 | $1,318.26 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $380.19 Median $776.25 Typical High $2,884.03 | Professional | None | $380.19 | $776.25 | $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 $549.54 Median $549.54 Typical High $1,318.26 | Facility | None | $549.54 | $549.54 | $1,318.26 |
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 $251.19 Median $630.96 Typical High $1,548.82 | Facility | 52 · Reduced service | $251.19 | $630.96 | $1,548.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $100.00 Median $257.04 Typical High $630.96 | Facility | 53 · Discontinued | $100.00 | $257.04 | $630.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Where California sits
The same service costs 4.0 times more in Wisconsin 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· 10th of 51
$1,122
WI $1,549GA $389
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.