How much rates vary
Facilitymedian $295 · 10th to 90th $129 to $1,413Professionalmedian $148 · 10th to 90th $63 to $871
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 $144.54 Median $354.81 Typical High $912.01 | Facility | None | $144.54 | $354.81 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $173.78 | Professional | None | $131.83 | $147.91 | $173.78 |
Ambetter Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $229.09 Typical High $630.96 | Facility | None | $158.49 | $229.09 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $138.04 Typical High $512.86 | Professional | None | $63.10 | $138.04 | $512.86 |
Blue Shield Setting Facility Modifier None Typical Low $223.87 Median $1,148.15 Typical High $1,995.26 | Facility | None | $223.87 | $1,148.15 | $1,995.26 |
Blue Shield Setting Professional Modifier None Typical Low $79.43 Median $114.82 Typical High $446.68 | Professional | None | $79.43 | $114.82 | $446.68 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $194.98 | Professional | None | $102.33 | $114.82 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $229.09 Typical High $446.68 | Facility | None | $109.65 | $229.09 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $151.36 Typical High $691.83 | Professional | None | $83.18 | $151.36 | $691.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $173.78 | Professional | None | $114.82 | $141.25 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $147.91 Typical High $338.84 | Professional | None | $114.82 | $147.91 | $338.84 |
Lucent Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $954.99 | Professional | None | $645.65 | $645.65 | $954.99 |
Molina Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Providence Setting Facility Modifier None Typical Low $120.23 Median $208.93 Typical High $416.87 | Facility | None | $120.23 | $208.93 | $416.87 |
Providence Setting Professional Modifier None Typical Low $83.18 Median $162.18 Typical High $691.83 | Professional | None | $83.18 | $162.18 | $691.83 |
Sutter Health Plus Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
United Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $128.82 | Facility | None | $53.70 | $53.70 | $128.82 |
United Setting Professional Modifier None Typical Low $53.70 Median $77.62 Typical High $501.19 | Professional | None | $53.70 | $77.62 | $501.19 |
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 $72.44 Median $190.55 Typical High $457.09 | Facility | 52 · Reduced service | $72.44 | $190.55 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $75.86 Typical High $181.97 | Facility | 53 · Discontinued | $28.84 | $75.86 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $57.54 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $22.91 | $29.51 | $29.51 |
Where California sits
The same service costs 3.3 times more in Alaska than in Delaware. 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· 14th of 51
$162
AK $288DE $87.10
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.