How much rates vary
Facilitymedian $2,188 · 10th to 90th $1,023 to $4,786Professionalmedian $1,445 · 10th to 90th $513 to $7,762
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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,096.48 | $1,584.89 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $2,290.87 Typical High $6,309.57 | Facility | None | $1,584.89 | $2,290.87 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $891.25 Typical High $5,888.44 | Professional | None | $512.86 | $891.25 | $5,888.44 |
Blue Shield Setting Facility Modifier None Typical Low $933.25 Median $3,019.95 Typical High $3,801.89 | Facility | None | $933.25 | $3,019.95 | $3,801.89 |
Blue Shield Setting Professional Modifier None Typical Low $588.84 Median $831.76 Typical High $1,621.81 | Professional | None | $588.84 | $831.76 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,290.87 Typical High $4,265.80 | Facility | None | $891.25 | $2,290.87 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,380.38 Typical High $6,309.57 | Professional | None | $676.08 | $1,380.38 | $6,309.57 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,288.25 | $1,412.54 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $2,951.21 | Professional | None | $1,148.15 | $1,412.54 | $2,951.21 |
Lucent Health Setting Professional Modifier None Typical Low $6,456.54 Median $9,549.93 Typical High $9,549.93 | Professional | None | $6,456.54 | $9,549.93 | $9,549.93 |
Molina Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Providence Setting Facility Modifier None Typical Low $870.96 Median $1,584.89 Typical High $3,801.89 | Facility | None | $870.96 | $1,584.89 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $707.95 Median $1,412.54 Typical High $6,309.57 | Professional | None | $707.95 | $1,412.54 | $6,309.57 |
Sutter Health Plus Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
United Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $1,288.25 | Facility | None | $537.03 | $537.03 | $1,288.25 |
United Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $5,011.87 | Professional | None | $537.03 | $776.25 | $5,011.87 |
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 $794.33 Median $1,995.26 Typical High $4,897.79 | Facility | 52 · Reduced service | $794.33 | $1,995.26 | $4,897.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $316.23 Median $812.83 Typical High $1,949.84 | Facility | 53 · Discontinued | $316.23 | $812.83 | $1,949.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 52 · Reduced service | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 53 · Discontinued | $316.23 | $316.23 | $316.23 |
Where California sits
The same service costs 4.9 times more in Alaska than in Alabama. 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· 7th of 51
$1,585
AK $2,884AL $589
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.