How much rates vary
Facilitymedian $5,754 · 10th to 90th $2,399 to $13,804Professionalmedian $2,754 · 10th to 90th $1,288 to $24,547
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 $2,344.23 Median $6,165.95 Typical High $14,791.08 | Facility | None | $2,344.23 | $6,165.95 | $14,791.08 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,398.83 Typical High $2,454.71 | Professional | None | $2,137.96 | $2,398.83 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,981.07 Median $5,754.40 Typical High $15,848.93 | Facility | None | $3,981.07 | $5,754.40 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $11,748.98 | Professional | None | $1,288.25 | $1,348.96 | $11,748.98 |
Blue Shield Setting Facility Modifier None Typical Low $2,344.23 Median $7,585.78 Typical High $9,549.93 | Facility | None | $2,344.23 | $7,585.78 | $9,549.93 |
Blue Shield Setting Professional Modifier None Typical Low $1,479.11 Median $2,089.30 Typical High $5,623.41 | Professional | None | $1,479.11 | $2,089.30 | $5,623.41 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $2,570.40 Median $2,884.03 Typical High $5,495.41 | Professional | None | $2,570.40 | $2,884.03 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $5,754.40 Typical High $10,471.29 | Facility | None | $2,187.76 | $5,754.40 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $3,467.37 Typical High $15,848.93 | Professional | None | $1,548.82 | $3,467.37 | $15,848.93 |
Contra Costa Health Setting Professional Modifier None Typical Low $3,235.94 Median $3,548.13 Typical High $4,365.16 | Professional | None | $3,235.94 | $3,548.13 | $4,365.16 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,884.03 Median $3,548.13 Typical High $8,128.31 | Professional | None | $2,884.03 | $3,548.13 | $8,128.31 |
Lucent Health Setting Professional Modifier None Typical Low $16,218.10 Median $16,218.10 Typical High $24,547.09 | Professional | None | $16,218.10 | $16,218.10 | $24,547.09 |
Molina 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 |
Providence Setting Facility Modifier None Typical Low $2,398.83 Median $4,365.16 Typical High $10,000.00 | Facility | None | $2,398.83 | $4,365.16 | $10,000.00 |
Providence Setting Professional Modifier None Typical Low $1,548.82 Median $3,548.13 Typical High $15,848.93 | Professional | None | $1,548.82 | $3,548.13 | $15,848.93 |
Sutter Health Plus Setting Professional Modifier None Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Professional | None | $11,481.54 | $11,481.54 | $11,481.54 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $3,235.94 | Facility | None | $1,348.96 | $1,348.96 | $3,235.94 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $12,882.50 | Professional | None | $1,202.26 | $1,949.84 | $12,882.50 |
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 $1,174.90 Median $3,090.30 Typical High $7,413.10 | Facility | 52 · Reduced service | $1,174.90 | $3,090.30 | $7,413.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $467.74 Median $1,230.27 Typical High $2,951.21 | Facility | 53 · Discontinued | $467.74 | $1,230.27 | $2,951.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,071.52 Median $1,202.26 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,071.52 | $1,202.26 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $478.63 Typical High $489.78 | Professional | 53 · Discontinued | $426.58 | $478.63 | $489.78 |
Where California sits
The same service costs 5.4 times more in Alaska than in Alabama. 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
$3,236
AK $7,244AL $1,349
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.