How much rates vary
Facilitymedian $1,585 · 10th to 90th $741 to $3,467Professionalmedian $1,047 · 10th to 90th $372 to $7,079
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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,148.15 Typical High $1,148.15 | Professional | None | $870.96 | $1,148.15 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $1,659.59 Typical High $4,570.88 | Facility | None | $1,148.15 | $1,659.59 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $645.65 Typical High $5,888.44 | Professional | None | $371.54 | $645.65 | $5,888.44 |
Blue Shield Setting Facility Modifier None Typical Low $676.08 Median $2,187.76 Typical High $2,754.23 | Facility | None | $676.08 | $2,187.76 | $2,754.23 |
Blue Shield Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $1,174.90 | Professional | None | $426.58 | $602.56 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,659.59 Typical High $3,090.30 | Facility | None | $660.69 | $1,659.59 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $1,023.29 Typical High $4,570.88 | Professional | None | $501.19 | $1,023.29 | $4,570.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $933.25 Median $1,023.29 Typical High $1,023.29 | Professional | None | $933.25 | $1,023.29 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $2,137.96 | Professional | None | $851.14 | $1,023.29 | $2,137.96 |
Lucent Health Setting Professional Modifier None Typical Low $4,677.35 Median $7,079.46 Typical High $7,079.46 | Professional | None | $4,677.35 | $7,079.46 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $1,148.15 Typical High $2,754.23 | Facility | None | $630.96 | $1,148.15 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $512.86 Median $1,023.29 Typical High $4,570.88 | Professional | None | $512.86 | $1,023.29 | $4,570.88 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $933.25 | Facility | None | $389.05 | $389.05 | $933.25 |
United Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $3,630.78 | Professional | None | $389.05 | $562.34 | $3,630.78 |
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 $575.44 Median $1,479.11 Typical High $3,548.13 | Facility | 52 · Reduced service | $575.44 | $1,479.11 | $3,548.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $229.09 Median $588.84 Typical High $1,445.44 | Facility | 53 · Discontinued | $229.09 | $588.84 | $1,445.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $229.09 | $229.09 | $229.09 |
Where California sits
The same service costs 3.7 times more in Alaska 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· 9th of 51
$1,148
AK $2,089GA $562
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.