How much rates vary
Facilitymedian $1,698 · 10th to 90th $257 to $3,467Professionalmedian $295 · 10th to 90th $200 to $832
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 $263.03 Median $316.23 Typical High $1,949.84 | Facility | None | $263.03 | $316.23 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $398.11 | Professional | None | $213.80 | $275.42 | $398.11 |
Ambetter Setting Professional Modifier None Typical Low $165.96 Median $169.82 Typical High $177.83 | Professional | None | $165.96 | $169.82 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $302.00 Typical High $338.84 | Facility | None | $281.84 | $302.00 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $218.78 Median $288.40 Typical High $776.25 | Professional | None | $218.78 | $288.40 | $776.25 |
Blue Shield Setting Facility Modifier None Typical Low $524.81 Median $2,398.83 Typical High $3,715.35 | Facility | None | $524.81 | $2,398.83 | $3,715.35 |
Blue Shield Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $398.11 | Professional | None | $208.93 | $295.12 | $398.11 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $363.08 | Professional | None | $213.80 | $263.03 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $489.78 | Professional | None | $213.80 | $302.00 | $489.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $141.25 Median $234.42 Typical High $316.23 | Professional | None | $141.25 | $234.42 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $208.93 Typical High $524.81 | Professional | None | $165.96 | $208.93 | $524.81 |
Lucent Health Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Molina Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Optum Setting Professional Modifier None Typical Low $30.90 Median $54.95 Typical High $70.79 | Professional | None | $30.90 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $354.81 Typical High $588.84 | Facility | None | $223.87 | $354.81 | $588.84 |
Providence Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $457.09 | Professional | None | $213.80 | $302.00 | $457.09 |
Sutter Health Plus Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
United Setting Professional Modifier None Typical Low $151.36 Median $239.88 Typical High $398.11 | Professional | None | $151.36 | $239.88 | $398.11 |
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 $131.83 Median $158.49 Typical High $977.24 | Facility | 52 · Reduced service | $131.83 | $158.49 | $977.24 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $52.48 Median $63.10 Typical High $389.05 | Facility | 53 · Discontinued | $52.48 | $63.10 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $131.83 Typical High $158.49 | Professional | 52 · Reduced service | $104.71 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $52.48 Typical High $63.10 | Professional | 53 · Discontinued | $42.66 | $52.48 | $63.10 |
Where California sits
The same service costs 2.5 times more in Minnesota 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· 13th of 51
$295
MN $407FL $162
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.