How much rates vary
Facilitymedian $2,512 · 10th to 90th $741 to $5,370Professionalmedian $977 · 10th to 90th $589 to $2,570
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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $1,122.02 | Professional | None | $57.54 | $57.54 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $2,691.53 Typical High $7,413.10 | Facility | None | $1,819.70 | $2,691.53 | $7,413.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $2,089.30 | Professional | None | $588.84 | $588.84 | $2,089.30 |
Blue Shield Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $4,365.16 | Facility | None | $1,071.52 | $3,467.37 | $4,365.16 |
Blue Shield Setting Professional Modifier None Typical Low $676.08 Median $977.24 Typical High $1,445.44 | Professional | None | $676.08 | $977.24 | $1,445.44 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,949.84 | Professional | None | $1,202.26 | $1,202.26 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $2,570.40 Typical High $4,786.30 | Facility | None | $794.33 | $2,570.40 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,737.80 Typical High $2,691.53 | Professional | None | $794.33 | $1,737.80 | $2,691.53 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,479.11 | $1,621.81 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $3,981.07 | Professional | None | $1,202.26 | $1,548.82 | $3,981.07 |
Molina Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,479.11 | Professional | None | $741.31 | $741.31 | $1,479.11 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $1,737.80 Typical High $4,168.69 | Facility | None | $83.18 | $1,737.80 | $4,168.69 |
Providence Setting Professional Modifier None Typical Low $794.33 Median $1,479.11 Typical High $2,951.21 | Professional | None | $794.33 | $1,479.11 | $2,951.21 |
Sutter Health Plus Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,248.07 | $5,248.07 | $5,248.07 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $1,479.11 | Facility | None | $630.96 | $630.96 | $1,479.11 |
United Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $3,981.07 | Professional | None | $630.96 | $891.25 | $3,981.07 |
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 $28.84 Median $74.13 Typical High $194.98 | Facility | 52 · Reduced service | $28.84 | $74.13 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $29.51 Typical High $77.62 | Facility | 53 · Discontinued | $11.48 | $29.51 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $562.34 | Professional | 52 · Reduced service | $28.84 | $28.84 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $223.87 | Professional | 53 · Discontinued | $11.48 | $11.48 | $223.87 |
Where California sits
The same service costs 5.6 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· 41st of 51
$977
AK $3,311GA $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.