How much rates vary
Facilitymedian $269 · 10th to 90th $117 to $1,288Professionalmedian $162 · 10th to 90th $66 to $1,023
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 $123.03 Median $323.59 Typical High $831.76 | Facility | None | $123.03 | $323.59 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $138.04 Typical High $162.18 | Professional | None | $123.03 | $138.04 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $208.93 Typical High $575.44 | Facility | None | $144.54 | $208.93 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $147.91 Typical High $501.19 | Professional | None | $66.07 | $147.91 | $501.19 |
Blue Shield Setting Facility Modifier None Typical Low $204.17 Median $933.25 Typical High $1,778.28 | Facility | None | $204.17 | $933.25 | $1,778.28 |
Blue Shield Setting Professional Modifier None Typical Low $72.44 Median $102.33 Typical High $331.13 | Professional | None | $72.44 | $102.33 | $331.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $1,513.56 | Professional | None | $93.33 | $93.33 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $208.93 Typical High $398.11 | Facility | None | $95.50 | $208.93 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $158.49 Typical High $630.96 | Professional | None | $77.62 | $158.49 | $630.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $158.49 | Professional | None | $100.00 | $128.82 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $128.82 Typical High $309.03 | Professional | None | $117.49 | $128.82 | $309.03 |
Lucent Health Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,023.29 | Professional | None | $870.96 | $1,023.29 | $1,023.29 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $194.98 Typical High $389.05 | Facility | None | $109.65 | $194.98 | $389.05 |
Providence Setting Professional Modifier None Typical Low $77.62 Median $158.49 Typical High $630.96 | Professional | None | $77.62 | $158.49 | $630.96 |
Sutter Health Plus Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
United Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $117.49 | Facility | None | $48.98 | $48.98 | $117.49 |
United Setting Professional Modifier None Typical Low $69.18 Median $117.49 Typical High $512.86 | Professional | None | $69.18 | $117.49 | $512.86 |
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 $67.61 Median $177.83 Typical High $426.58 | Facility | 52 · Reduced service | $67.61 | $177.83 | $426.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $70.79 Typical High $169.82 | Facility | 53 · Discontinued | $26.92 | $70.79 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $53.70 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $21.88 | $28.18 | $28.18 |
Where California sits
The same service costs 6.3 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· 12th of 51
$195
AK $389AL $61.66
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.