How much rates vary
Facilitymedian $1,698 · 10th to 90th $427 to $4,074Professionalmedian $457 · 10th to 90th $219 to $6,457
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 $1,288.25 Typical High $3,090.30 | Facility | None | $501.19 | $1,288.25 | $3,090.30 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $524.81 | Professional | None | $416.87 | $512.86 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $2,238.72 Typical High $4,897.79 | Facility | None | $1,584.89 | $2,238.72 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $1,778.28 | Professional | None | $218.78 | $218.78 | $1,778.28 |
Blue Shield Setting Facility Modifier None Typical Low $316.23 Median $1,023.29 Typical High $1,288.25 | Facility | None | $316.23 | $1,023.29 | $1,288.25 |
Blue Shield Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $676.08 | Professional | None | $245.47 | $354.81 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $1,148.15 Typical High $3,388.44 | Facility | None | $331.13 | $1,148.15 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $602.56 Typical High $2,454.71 | Professional | None | $263.03 | $602.56 | $2,454.71 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,318.26 | $1,445.44 | $1,445.44 |
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 $6,456.54 Typical High $9,772.37 | Professional | None | $6,456.54 | $6,456.54 | $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 $288.40 Median $1,258.93 Typical High $2,691.53 | Facility | None | $288.40 | $1,258.93 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $288.40 Median $602.56 Typical High $2,570.40 | Professional | None | $288.40 | $602.56 | $2,570.40 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
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 $186.21 Median $263.03 Typical High $1,698.24 | Professional | None | $186.21 | $263.03 | $1,698.24 |
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 $645.65 Typical High $1,548.82 | Facility | 52 · Reduced service | $251.19 | $645.65 | $1,548.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $100.00 Median $263.03 Typical High $616.60 | Facility | 53 · Discontinued | $100.00 | $263.03 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $208.93 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $85.11 | $102.33 | $102.33 |
Where California sits
The same service costs 5.2 times more in North Dakota 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· 39th of 51
$513
ND $1,514GA $288
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.