How much rates vary
Facilitymedian $724 · 10th to 90th $309 to $3,090Professionalmedian $257 · 10th to 90th $178 to $794
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 $331.13 Median $851.14 Typical High $2,041.74 | Facility | None | $331.13 | $851.14 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $338.84 | Professional | None | $295.12 | $338.84 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $645.65 Typical High $1,778.28 | Facility | None | $436.52 | $645.65 | $1,778.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $616.60 | Professional | None | $177.83 | $213.80 | $616.60 |
Blue Shield Setting Facility Modifier None Typical Low $524.81 Median $2,570.40 Typical High $4,466.84 | Facility | None | $524.81 | $2,570.40 | $4,466.84 |
Blue Shield Setting Professional Modifier None Typical Low $177.83 Median $257.04 Typical High $562.34 | Professional | None | $177.83 | $257.04 | $562.34 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $11.48 Median $288.40 Typical High $323.59 | Professional | None | $11.48 | $288.40 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $630.96 Typical High $1,230.27 | Facility | None | $269.15 | $630.96 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $380.19 Typical High $1,174.90 | Professional | None | $234.42 | $380.19 | $1,174.90 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.23 Median $389.05 Typical High $389.05 | Professional | None | $10.23 | $389.05 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $1,000.00 | Professional | None | $302.00 | $389.05 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $354.81 | Professional | None | $177.83 | $177.83 | $354.81 |
Providence Setting Facility Modifier None Typical Low $234.42 Median $426.58 Typical High $1,071.52 | Facility | None | $234.42 | $426.58 | $1,071.52 |
Providence Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $933.25 | Professional | None | $234.42 | $354.81 | $933.25 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $354.81 | Facility | None | $151.36 | $151.36 | $354.81 |
United Setting Professional Modifier None Typical Low $151.36 Median $213.80 Typical High $954.99 | Professional | None | $151.36 | $213.80 | $954.99 |
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 $165.96 Median $426.58 Typical High $1,023.29 | Facility | 52 · Reduced service | $165.96 | $426.58 | $1,023.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $66.07 Median $169.82 Typical High $407.38 | Facility | 53 · Discontinued | $66.07 | $169.82 | $407.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $147.91 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $58.88 | $67.61 | $67.61 |
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· 29th of 51
$331
AK $813AL $151
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.