How much rates vary
Facilitymedian $603 · 10th to 90th $257 to $2,818Professionalmedian $309 · 10th to 90th $126 to $1,950
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 $302.00 Median $776.25 Typical High $1,862.09 | Facility | None | $302.00 | $776.25 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $309.03 Typical High $309.03 | Professional | None | $229.09 | $309.03 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $316.23 Median $457.09 Typical High $1,258.93 | Facility | None | $316.23 | $457.09 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $208.93 Typical High $1,023.29 | Professional | None | $125.89 | $208.93 | $1,023.29 |
Blue Shield Setting Facility Modifier None Typical Low $457.09 Median $2,041.74 Typical High $3,890.45 | Facility | None | $457.09 | $2,041.74 | $3,890.45 |
Blue Shield Setting Professional Modifier None Typical Low $158.49 Median $229.09 Typical High $741.31 | Professional | None | $158.49 | $229.09 | $741.31 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $204.17 Median $229.09 Typical High $389.05 | Professional | None | $204.17 | $229.09 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $457.09 Typical High $891.25 | Facility | None | $208.93 | $457.09 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $309.03 Typical High $1,380.38 | Professional | None | $169.82 | $309.03 | $1,380.38 |
Contra Costa Health Setting Professional Modifier None Typical Low $229.09 Median $281.84 Typical High $346.74 | Professional | None | $229.09 | $281.84 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $295.12 Typical High $691.83 | Professional | None | $229.09 | $295.12 | $691.83 |
Lucent Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,949.84 | Professional | None | $1,862.09 | $1,862.09 | $1,949.84 |
Molina Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Providence Setting Facility Modifier None Typical Low $239.88 Median $426.58 Typical High $851.14 | Facility | None | $239.88 | $426.58 | $851.14 |
Providence Setting Professional Modifier None Typical Low $169.82 Median $323.59 Typical High $1,380.38 | Professional | None | $169.82 | $323.59 | $1,380.38 |
Sutter Health Plus Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $257.04 | Facility | None | $107.15 | $107.15 | $257.04 |
United Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $1,023.29 | Professional | None | $107.15 | $154.88 | $1,023.29 |
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 $151.36 Median $389.05 Typical High $933.25 | Facility | 52 · Reduced service | $151.36 | $389.05 | $933.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $158.49 Typical High $371.54 | Facility | 53 · Discontinued | $60.26 | $158.49 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $114.82 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $45.71 | $61.66 | $61.66 |
Where California sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 6th of 51
$363
AK $575GA $155
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.