How much rates vary
Facilitymedian $1,096 · 10th to 90th $437 to $4,169Professionalmedian $537 · 10th to 90th $204 to $2,754
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 $416.87 Median $1,096.48 Typical High $2,570.40 | Facility | None | $416.87 | $1,096.48 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $436.52 Typical High $758.58 | Professional | None | $380.19 | $436.52 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $912.01 Typical High $2,511.89 | Facility | None | $630.96 | $912.01 | $2,511.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $562.34 Typical High $1,819.70 | Professional | None | $204.17 | $562.34 | $1,819.70 |
Blue Shield Setting Facility Modifier None Typical Low $660.69 Median $2,951.21 Typical High $5,495.41 | Facility | None | $660.69 | $2,951.21 | $5,495.41 |
Blue Shield Setting Professional Modifier None Typical Low $218.78 Median $316.23 Typical High $831.76 | Professional | None | $218.78 | $316.23 | $831.76 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $407.38 Median $457.09 Typical High $691.83 | Professional | None | $407.38 | $457.09 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $912.01 Typical High $1,698.24 | Facility | None | $371.54 | $912.01 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $549.54 Typical High $2,511.89 | Professional | None | $269.15 | $549.54 | $2,511.89 |
Contra Costa Health Setting Professional Modifier None Typical Low $407.38 Median $562.34 Typical High $691.83 | Professional | None | $407.38 | $562.34 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $562.34 Typical High $1,348.96 | Professional | None | $457.09 | $562.34 | $1,348.96 |
Lucent Health Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,801.89 | Professional | None | $2,570.40 | $2,570.40 | $3,801.89 |
Molina Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Providence Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $1,548.82 | Facility | None | $436.52 | $676.08 | $1,548.82 |
Providence Setting Professional Modifier None Typical Low $269.15 Median $575.44 Typical High $2,511.89 | Professional | None | $269.15 | $575.44 | $2,511.89 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $512.86 | Facility | None | $213.80 | $213.80 | $512.86 |
United Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $2,238.72 | Professional | None | $213.80 | $302.00 | $2,238.72 |
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 $208.93 Median $549.54 Typical High $1,288.25 | Facility | 52 · Reduced service | $208.93 | $549.54 | $1,288.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $83.18 Median $218.78 Typical High $524.81 | Facility | 53 · Discontinued | $83.18 | $218.78 | $524.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $186.21 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $75.86 | $87.10 | $87.10 |
Where California sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$603
AK $1,148FL $331
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.