How much rates vary
Facilitymedian $398 · 10th to 90th $174 to $1,862Professionalmedian $214 · 10th to 90th $93 to $1,445
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 $194.98 Median $501.19 Typical High $1,202.26 | Facility | None | $194.98 | $501.19 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $199.53 | Professional | None | $158.49 | $199.53 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $309.03 Typical High $851.14 | Facility | None | $213.80 | $309.03 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $213.80 Typical High $660.69 | Professional | None | $93.33 | $213.80 | $660.69 |
Blue Shield Setting Facility Modifier None Typical Low $309.03 Median $1,348.96 Typical High $2,511.89 | Facility | None | $309.03 | $1,348.96 | $2,511.89 |
Blue Shield Setting Professional Modifier None Typical Low $102.33 Median $147.91 Typical High $478.63 | Professional | None | $102.33 | $147.91 | $478.63 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $138.04 Median $154.88 Typical High $295.12 | Professional | None | $138.04 | $154.88 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $309.03 Typical High $616.60 | Facility | None | $141.25 | $309.03 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $208.93 Typical High $933.25 | Professional | None | $109.65 | $208.93 | $933.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $234.42 | Professional | None | $147.91 | $190.55 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $467.74 | Professional | None | $154.88 | $199.53 | $467.74 |
Lucent Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,288.25 | $1,445.44 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Providence Setting Facility Modifier None Typical Low $162.18 Median $281.84 Typical High $562.34 | Facility | None | $162.18 | $281.84 | $562.34 |
Providence Setting Professional Modifier None Typical Low $114.82 Median $218.78 Typical High $933.25 | Professional | None | $114.82 | $218.78 | $933.25 |
Sutter Health Plus Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $173.78 | Facility | None | $72.44 | $72.44 | $173.78 |
United Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $691.83 | Professional | None | $104.71 | $173.78 | $691.83 |
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 $97.72 Median $251.19 Typical High $602.56 | Facility | 52 · Reduced service | $97.72 | $251.19 | $602.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $102.33 Typical High $239.88 | Facility | 53 · Discontinued | $38.90 | $102.33 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $79.43 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $31.62 | $39.81 | $39.81 |
Where California sits
The same service costs 3.7 times more in Kansas than in Illinois. 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· 17th of 51
$245
KS $501IL $135
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.