How much rates vary
Facilitymedian $324 · 10th to 90th $138 to $1,413Professionalmedian $186 · 10th to 90th $71 to $1,096
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 $147.91 Median $363.08 Typical High $912.01 | Facility | None | $147.91 | $363.08 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $151.36 Typical High $199.53 | Professional | None | $131.83 | $151.36 | $199.53 |
Ambetter Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $257.04 Typical High $707.95 | Facility | None | $177.83 | $257.04 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $162.18 Typical High $562.34 | Professional | None | $70.79 | $162.18 | $562.34 |
Blue Shield Setting Facility Modifier None Typical Low $234.42 Median $1,023.29 Typical High $1,905.46 | Facility | None | $234.42 | $1,023.29 | $1,905.46 |
Blue Shield Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $363.08 | Professional | None | $77.62 | $112.20 | $363.08 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $1,479.11 | Professional | None | $114.82 | $114.82 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $257.04 Typical High $478.63 | Facility | None | $109.65 | $257.04 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $169.82 Typical High $707.95 | Professional | None | $93.33 | $169.82 | $707.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $100.00 Median $158.49 Typical High $194.98 | Professional | None | $100.00 | $158.49 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $158.49 Typical High $380.19 | Professional | None | $144.54 | $158.49 | $380.19 |
Lucent Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,071.52 | $1,096.48 | $1,096.48 |
Providence Setting Facility Modifier None Typical Low $134.90 Median $213.80 Typical High $436.52 | Facility | None | $134.90 | $213.80 | $436.52 |
Providence Setting Professional Modifier None Typical Low $93.33 Median $190.55 Typical High $707.95 | Professional | None | $93.33 | $190.55 | $707.95 |
Sutter Health Plus Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $144.54 | Facility | None | $60.26 | $60.26 | $144.54 |
United Setting Professional Modifier None Typical Low $87.10 Median $144.54 Typical High $630.96 | Professional | None | $87.10 | $144.54 | $630.96 |
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 $74.13 Median $190.55 Typical High $457.09 | Facility | 52 · Reduced service | $74.13 | $190.55 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $77.62 Typical High $186.21 | Facility | 53 · Discontinued | $29.51 | $77.62 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $61.66 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $24.55 | $30.20 | $30.20 |
Where California sits
The same service costs 5.6 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· 15th of 51
$224
AK $427AL $75.86
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.