How much rates vary
Facilitymedian $331 · 10th to 90th $138 to $1,380Professionalmedian $162 · 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 $144.54 Median $380.19 Typical High $912.01 | Facility | None | $144.54 | $380.19 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $147.91 | Professional | None | $123.03 | $147.91 | $147.91 |
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 $158.49 Typical High $524.81 | Professional | None | $70.79 | $158.49 | $524.81 |
Blue Shield Setting Facility Modifier None Typical Low $229.09 Median $1,000.00 Typical High $1,905.46 | Facility | None | $229.09 | $1,000.00 | $1,905.46 |
Blue Shield Setting Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $354.81 | Professional | None | $77.62 | $109.65 | $354.81 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $245.47 | Professional | None | $114.82 | $128.82 | $245.47 |
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 $85.11 Median $169.82 Typical High $707.95 | Professional | None | $85.11 | $169.82 | $707.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $194.98 | Professional | None | $114.82 | $158.49 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $389.05 | Professional | None | $128.82 | $165.96 | $389.05 |
Lucent Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
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 $87.10 Median $169.82 Typical High $707.95 | Professional | None | $87.10 | $169.82 | $707.95 |
Sutter Health Plus Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
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 $575.44 | Professional | None | $87.10 | $144.54 | $575.44 |
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 $72.44 Median $190.55 Typical High $457.09 | Facility | 52 · Reduced service | $72.44 | $190.55 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $75.86 Typical High $181.97 | Facility | 53 · Discontinued | $28.84 | $75.86 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $61.66 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $25.12 | $29.51 | $29.51 |
Where California sits
The same service costs 5.0 times more in Kansas 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· 18th of 51
$186
KS $437AL $87.10
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.