How much rates vary
Facilitymedian $447 · 10th to 90th $245 to $1,820Professionalmedian $263 · 10th to 90th $105 to $1,778
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 $204.17 Median $537.03 Typical High $1,288.25 | Facility | None | $204.17 | $537.03 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $213.80 Typical High $398.11 | Professional | None | $186.21 | $213.80 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $478.63 Typical High $1,318.26 | Facility | None | $323.59 | $478.63 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $223.87 Typical High $954.99 | Professional | None | $104.71 | $223.87 | $954.99 |
Blue Shield Setting Facility Modifier None Typical Low $331.13 Median $1,412.54 Typical High $2,691.53 | Facility | None | $331.13 | $1,412.54 | $2,691.53 |
Blue Shield Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $512.86 | Professional | None | $109.65 | $154.88 | $512.86 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $446.68 | Professional | None | $213.80 | $239.88 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $478.63 Typical High $891.25 | Facility | None | $194.98 | $478.63 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $281.84 Typical High $1,288.25 | Professional | None | $131.83 | $281.84 | $1,288.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $190.55 Median $288.40 Typical High $354.81 | Professional | None | $190.55 | $288.40 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $707.95 | Professional | None | $239.88 | $302.00 | $707.95 |
Lucent Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,995.26 | Professional | None | $1,548.82 | $1,548.82 | $1,995.26 |
Molina Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Providence Setting Facility Modifier None Typical Low $213.80 Median $354.81 Typical High $812.83 | Facility | None | $213.80 | $354.81 | $812.83 |
Providence Setting Professional Modifier None Typical Low $131.83 Median $288.40 Typical High $1,288.25 | Professional | None | $131.83 | $288.40 | $1,288.25 |
Sutter Health Plus Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
United Setting Professional Modifier None Typical Low $147.91 Median $263.03 Typical High $1,047.13 | Professional | None | $147.91 | $263.03 | $1,047.13 |
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 $102.33 Median $269.15 Typical High $645.65 | Facility | 52 · Reduced service | $102.33 | $269.15 | $645.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $41.69 Median $107.15 Typical High $257.04 | Facility | 53 · Discontinued | $41.69 | $107.15 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $93.33 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $37.15 | $42.66 | $42.66 |
Where California sits
The same service costs 3.4 times more in Alaska than in Florida. 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· 10th of 51
$331
AK $589FL $174
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.