How much rates vary
Facilitymedian $575 · 10th to 90th $162 to $1,380Professionalmedian $129 · 10th to 90th $81 to $479
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 $117.49 Median $302.00 Typical High $724.44 | Facility | None | $117.49 | $302.00 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $257.04 | Professional | None | $104.71 | $120.23 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $575.44 Typical High $1,584.89 | Facility | None | $398.11 | $575.44 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $416.87 | Professional | None | $114.82 | $128.82 | $416.87 |
Blue Shield Setting Facility Modifier None Typical Low $199.53 Median $933.25 Typical High $1,584.89 | Facility | None | $199.53 | $933.25 | $1,584.89 |
Blue Shield Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $199.53 | Professional | None | $63.10 | $91.20 | $199.53 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $11.48 Median $257.04 Typical High $288.40 | Professional | None | $11.48 | $257.04 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $562.34 Typical High $1,047.13 | Facility | None | $208.93 | $562.34 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $190.55 Typical High $562.34 | Professional | None | $93.33 | $190.55 | $562.34 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.23 Median $354.81 Typical High $354.81 | Professional | None | $10.23 | $354.81 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $354.81 Typical High $912.01 | Professional | None | $275.42 | $354.81 | $912.01 |
Molina Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $389.05 | Professional | None | $194.98 | $194.98 | $389.05 |
Providence Setting Facility Modifier None Typical Low $162.18 Median $363.08 Typical High $912.01 | Facility | None | $162.18 | $363.08 | $912.01 |
Providence Setting Professional Modifier None Typical Low $93.33 Median $173.78 Typical High $645.65 | Professional | None | $93.33 | $173.78 | $645.65 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
United Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $323.59 | Facility | None | $134.90 | $134.90 | $323.59 |
United Setting Professional Modifier None Typical Low $72.44 Median $147.91 Typical High $758.58 | Professional | None | $72.44 | $147.91 | $758.58 |
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 $58.88 Median $151.36 Typical High $363.08 | Facility | 52 · Reduced service | $58.88 | $151.36 | $363.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.44 Median $60.26 Typical High $144.54 | Facility | 53 · Discontinued | $23.44 | $60.26 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $60.26 Typical High $134.90 | Professional | 52 · Reduced service | $52.48 | $60.26 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.99 Typical High $53.70 | Professional | 53 · Discontinued | $20.89 | $23.99 | $53.70 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 90 · Outside lab | $346.74 | $346.74 | $346.74 |
Where California sits
The same service costs 7.9 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· 47th of 51
$174
AK $724AL $91.20
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.