How much rates vary
Facilitymedian $1,445 · 10th to 90th $501 to $3,162Professionalmedian $550 · 10th to 90th $339 to $4,169
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 $489.78 Median $1,288.25 Typical High $3,090.30 | Facility | None | $489.78 | $1,288.25 | $3,090.30 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $501.19 Typical High $602.56 | Professional | None | $446.68 | $501.19 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $1,513.56 Typical High $4,168.69 | Facility | None | $1,047.13 | $1,513.56 | $4,168.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $1,621.81 | Professional | None | $338.84 | $338.84 | $1,621.81 |
Blue Shield Setting Facility Modifier None Typical Low $602.56 Median $1,949.84 Typical High $2,454.71 | Facility | None | $602.56 | $1,949.84 | $2,454.71 |
Blue Shield Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $1,047.13 | Professional | None | $380.19 | $549.54 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,479.11 Typical High $2,818.38 | Facility | None | $478.63 | $1,479.11 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $954.99 Typical High $4,168.69 | Professional | None | $316.23 | $954.99 | $4,168.69 |
Contra Costa Health Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $933.25 | Professional | None | $831.76 | $933.25 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $1,949.84 | Professional | None | $758.58 | $933.25 | $1,949.84 |
Lucent Health Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $6,309.57 | Professional | None | $4,168.69 | $4,168.69 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Providence Setting Facility Modifier None Typical Low $501.19 Median $977.24 Typical High $2,344.23 | Facility | None | $501.19 | $977.24 | $2,344.23 |
Providence Setting Professional Modifier None Typical Low $380.19 Median $933.25 Typical High $4,168.69 | Professional | None | $380.19 | $933.25 | $4,168.69 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $831.76 | Facility | None | $354.81 | $354.81 | $831.76 |
United Setting Professional Modifier None Typical Low $245.47 Median $501.19 Typical High $3,235.94 | Professional | None | $245.47 | $501.19 | $3,235.94 |
5 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 $245.47 Median $645.65 Typical High $1,513.56 | Facility | 52 · Reduced service | $245.47 | $645.65 | $1,513.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $97.72 Median $257.04 Typical High $616.60 | Facility | 53 · Discontinued | $97.72 | $257.04 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $251.19 Typical High $302.00 | Professional | 52 · Reduced service | $223.87 | $251.19 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $100.00 Typical High $120.23 | Professional | 53 · Discontinued | $89.13 | $100.00 | $120.23 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 90 · Outside lab | $524.81 | $524.81 | $524.81 |
Where California sits
The same service costs 5.4 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· 28th of 51
$631
AK $1,905GA $355
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.