How much rates vary
Facilitymedian $1,288 · 10th to 90th $575 to $3,388Professionalmedian $724 · 10th to 90th $302 to $5,754
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 $724.44 Median $1,819.70 Typical High $4,466.84 | Facility | None | $724.44 | $1,819.70 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $724.44 | Professional | None | $616.60 | $724.44 | $724.44 |
Ambetter Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $467.74 | Professional | None | $288.40 | $288.40 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $1,348.96 Typical High $3,715.35 | Facility | None | $933.25 | $1,348.96 | $3,715.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $524.81 Typical High $5,754.40 | Professional | None | $302.00 | $524.81 | $5,754.40 |
Blue Shield Setting Facility Modifier None Typical Low $549.54 Median $1,778.28 Typical High $2,238.72 | Facility | None | $549.54 | $1,778.28 | $2,238.72 |
Blue Shield Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $831.76 | Professional | None | $295.12 | $416.87 | $831.76 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $676.08 | Professional | None | $602.56 | $602.56 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,230.27 Typical High $2,511.89 | Facility | None | $501.19 | $1,230.27 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $812.83 Typical High $3,715.35 | Professional | None | $354.81 | $812.83 | $3,715.35 |
Contra Costa Health Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $831.76 | Professional | None | $758.58 | $831.76 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $2,041.74 | Professional | None | $676.08 | $831.76 | $2,041.74 |
Lucent Health Setting Professional Modifier None Typical Low $3,801.89 Median $5,754.40 Typical High $5,754.40 | Professional | None | $3,801.89 | $5,754.40 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $758.58 | Professional | None | $380.19 | $380.19 | $758.58 |
Providence Setting Facility Modifier None Typical Low $489.78 Median $870.96 Typical High $2,238.72 | Facility | None | $489.78 | $870.96 | $2,238.72 |
Providence Setting Professional Modifier None Typical Low $354.81 Median $812.83 Typical High $3,715.35 | Professional | None | $354.81 | $812.83 | $3,715.35 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $758.58 | Facility | None | $316.23 | $316.23 | $758.58 |
United Setting Professional Modifier None Typical Low $39.81 Median $331.13 Typical High $2,951.21 | Professional | None | $39.81 | $331.13 | $2,951.21 |
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 $363.08 Median $912.01 Typical High $2,238.72 | Facility | 52 · Reduced service | $363.08 | $912.01 | $2,238.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $144.54 Median $363.08 Typical High $891.25 | Facility | 53 · Discontinued | $144.54 | $363.08 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $354.81 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $141.25 | $144.54 | $144.54 |
Where California sits
The same service costs 4.5 times more in Alaska than in West Virginia. 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· 16th of 51
$759
AK $1,698WV $380
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.