How much rates vary
Facilitymedian $646 · 10th to 90th $186 to $1,549Professionalmedian $195 · 10th to 90th $138 to $955
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 $165.96 Median $380.19 Typical High $1,148.15 | Facility | None | $165.96 | $380.19 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $251.19 | Professional | None | $147.91 | $165.96 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $154.88 | Professional | None | $128.82 | $147.91 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $223.87 Typical High $251.19 | Facility | None | $213.80 | $223.87 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $213.80 Typical High $309.03 | Professional | None | $125.89 | $213.80 | $309.03 |
Blue Shield Setting Facility Modifier None Typical Low $257.04 Median $1,023.29 Typical High $1,737.80 | Facility | None | $257.04 | $1,023.29 | $1,737.80 |
Blue Shield Setting Professional Modifier None Typical Low $151.36 Median $213.80 Typical High $302.00 | Professional | None | $151.36 | $213.80 | $302.00 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $42.66 Median $204.17 Typical High $204.17 | Professional | None | $42.66 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $457.09 Typical High $524.81 | Facility | None | $151.36 | $457.09 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $169.82 Typical High $251.19 | Professional | None | $138.04 | $169.82 | $251.19 |
Contra Costa Health Setting Professional Modifier None Typical Low $28.84 Median $181.97 Typical High $199.53 | Professional | None | $28.84 | $181.97 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $158.49 Typical High $331.13 | Professional | None | $138.04 | $158.49 | $331.13 |
Lucent Health Setting Professional Modifier None Typical Low $954.99 Median $1,174.90 Typical High $1,174.90 | Professional | None | $954.99 | $1,174.90 | $1,174.90 |
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 $165.96 Median $234.42 Typical High $331.13 | Facility | None | $165.96 | $234.42 | $331.13 |
Providence Setting Professional Modifier None Typical Low $138.04 Median $169.82 Typical High $251.19 | Professional | None | $138.04 | $169.82 | $251.19 |
Sutter Health Plus Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
United Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $831.76 | Facility | None | $537.03 | $537.03 | $831.76 |
United Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $251.19 | Professional | None | $107.15 | $147.91 | $251.19 |
3 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 59 · Distinct service | $141.25 | $141.25 | $141.25 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | Q6 · Substitute physician, paid per time | $138.04 | $138.04 | $138.04 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | XU · Unusual separate service | $138.04 | $138.04 | $138.04 |
Where California sits
The same service costs 2.9 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· 20th of 51
$195
AK $347FL $120
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.