How much rates vary
Facilitymedian $646 · 10th to 90th $275 to $2,818Professionalmedian $229 · 10th to 90th $158 to $724
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 $295.12 Median $776.25 Typical High $1,862.09 | Facility | None | $295.12 | $776.25 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $302.00 | Professional | None | $269.15 | $302.00 | $302.00 |
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 $158.49 Median $181.97 Typical High $549.54 | Professional | None | $158.49 | $181.97 | $549.54 |
Blue Shield Setting Facility Modifier None Typical Low $467.74 Median $2,344.23 Typical High $4,073.80 | Facility | None | $467.74 | $2,344.23 | $4,073.80 |
Blue Shield Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $512.86 | Professional | None | $162.18 | $229.09 | $512.86 |
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 $245.47 Median $575.44 Typical High $1,122.02 | Facility | None | $245.47 | $575.44 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $338.84 Typical High $1,047.13 | Professional | None | $208.93 | $338.84 | $1,047.13 |
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 $162.18 Median $162.18 Typical High $323.59 | Professional | None | $162.18 | $162.18 | $323.59 |
Providence Setting Facility Modifier None Typical Low $208.93 Median $389.05 Typical High $954.99 | Facility | None | $208.93 | $389.05 | $954.99 |
Providence Setting Professional Modifier None Typical Low $208.93 Median $323.59 Typical High $851.14 | Professional | None | $208.93 | $323.59 | $851.14 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
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 $134.90 Median $194.98 Typical High $870.96 | Professional | None | $134.90 | $194.98 | $870.96 |
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 $147.91 Median $389.05 Typical High $933.25 | Facility | 52 · Reduced service | $147.91 | $389.05 | $933.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $58.88 Median $154.88 Typical High $371.54 | Facility | 53 · Discontinued | $58.88 | $154.88 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $134.90 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $60.26 Typical High $61.66 | Professional | 53 · Discontinued | $53.70 | $60.26 | $61.66 |
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· 30th of 51
$295
AK $724AL $135
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.