How much rates vary
Facilitymedian $324 · 10th to 90th $141 to $1,549Professionalmedian $191 · 10th to 90th $79 to $1,230
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 $165.96 Median $426.58 Typical High $1,023.29 | Facility | None | $165.96 | $426.58 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $169.82 Typical High $194.98 | Professional | None | $147.91 | $169.82 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $251.19 Typical High $691.83 | Facility | None | $173.78 | $251.19 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $177.83 Typical High $602.56 | Professional | None | $79.43 | $177.83 | $602.56 |
Blue Shield Setting Facility Modifier None Typical Low $245.47 Median $1,122.02 Typical High $2,137.96 | Facility | None | $245.47 | $1,122.02 | $2,137.96 |
Blue Shield Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $407.38 | Professional | None | $87.10 | $125.89 | $407.38 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $1,862.09 | Professional | None | $112.20 | $112.20 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $251.19 Typical High $501.19 | Facility | None | $114.82 | $251.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $190.55 Typical High $758.58 | Professional | None | $93.33 | $190.55 | $758.58 |
Contra Costa Health Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $190.55 | Professional | None | $125.89 | $154.88 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $371.54 | Professional | None | $141.25 | $154.88 | $371.54 |
Lucent Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,047.13 | $1,230.27 | $1,230.27 |
Providence Setting Facility Modifier None Typical Low $131.83 Median $234.42 Typical High $467.74 | Facility | None | $131.83 | $234.42 | $467.74 |
Providence Setting Professional Modifier None Typical Low $93.33 Median $190.55 Typical High $758.58 | Professional | None | $93.33 | $190.55 | $758.58 |
Sutter Health Plus Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
United Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $141.25 | Facility | None | $58.88 | $58.88 | $141.25 |
United Setting Professional Modifier None Typical Low $85.11 Median $141.25 Typical High $616.60 | Professional | None | $85.11 | $141.25 | $616.60 |
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 $81.28 Median $213.80 Typical High $512.86 | Facility | 52 · Reduced service | $81.28 | $213.80 | $512.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $85.11 Typical High $204.17 | Facility | 53 · Discontinued | $33.11 | $85.11 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $66.07 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $26.30 | $33.88 | $33.88 |
Where California sits
The same service costs 6.0 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· 14th of 51
$229
AK $389AL $64.57
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.