How much rates vary
Facilitymedian $1,202 · 10th to 90th $646 to $4,169Professionalmedian $912 · 10th to 90th $513 to $6,918
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 $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $2,630.27 Typical High $4,677.35 | Facility | None | $870.96 | $2,630.27 | $4,677.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $5,888.44 | Professional | None | $851.14 | $851.14 | $5,888.44 |
Blue Shield Setting Facility Modifier None Typical Low $660.69 Median $2,137.96 Typical High $2,691.53 | Facility | None | $660.69 | $2,137.96 | $2,691.53 |
Blue Shield Setting Professional Modifier None Typical Low $416.87 Median $588.84 Typical High $1,148.15 | Professional | None | $416.87 | $588.84 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,479.11 Typical High $3,019.95 | Facility | None | $616.60 | $1,479.11 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $1,096.48 Typical High $4,466.84 | Professional | None | $489.78 | $1,096.48 | $4,466.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,000.00 | Professional | None | $912.01 | $1,000.00 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,000.00 Typical High $2,454.71 | Professional | None | $831.76 | $1,000.00 | $2,454.71 |
Lucent Health Setting Professional Modifier None Typical Low $4,570.88 Median $6,918.31 Typical High $6,918.31 | Professional | None | $4,570.88 | $6,918.31 | $6,918.31 |
Molina Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Providence Setting Facility Modifier None Typical Low $588.84 Median $1,047.13 Typical High $2,454.71 | Facility | None | $588.84 | $1,047.13 | $2,454.71 |
Providence Setting Professional Modifier None Typical Low $501.19 Median $1,000.00 Typical High $4,466.84 | Professional | None | $501.19 | $1,000.00 | $4,466.84 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
United Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $912.01 | Facility | None | $380.19 | $380.19 | $912.01 |
United Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $3,548.13 | Professional | None | $380.19 | $549.54 | $3,548.13 |
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 $363.08 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $144.54 | $144.54 | $144.54 |
Where California sits
The same service costs 3.7 times more in Alaska than in Maine. 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· 20th of 51
$912
AK $2,042ME $550
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.