How much rates vary
Facilitymedian $447 · 10th to 90th $178 to $1,622Professionalmedian $182 · 10th to 90th $46 to $468
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 $162.18 Median $371.54 Typical High $1,122.02 | Facility | None | $162.18 | $371.54 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $199.53 Typical High $346.74 | Professional | None | $162.18 | $199.53 | $346.74 |
Ambetter Setting Professional Modifier None Typical Low $83.18 Median $123.03 Typical High $151.36 | Professional | None | $83.18 | $123.03 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $446.68 Typical High $1,230.27 | Facility | None | $302.00 | $446.68 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $169.82 Typical High $478.63 | Professional | None | $45.71 | $169.82 | $478.63 |
Blue Shield Setting Facility Modifier None Typical Low $281.84 Median $1,230.27 Typical High $2,344.23 | Facility | None | $281.84 | $1,230.27 | $2,344.23 |
Blue Shield Setting Professional Modifier None Typical Low $97.72 Median $141.25 Typical High $213.80 | Professional | None | $97.72 | $141.25 | $213.80 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $194.98 Median $199.53 Typical High $239.88 | Professional | None | $194.98 | $199.53 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $426.58 Typical High $758.58 | Facility | None | $100.00 | $426.58 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $323.59 | Professional | None | $60.26 | $60.26 | $323.59 |
Contra Costa Health Setting Professional Modifier None Typical Low $173.78 Median $269.15 Typical High $269.15 | Professional | None | $173.78 | $269.15 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $660.69 | Professional | None | $199.53 | $269.15 | $660.69 |
Lucent Health Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $309.03 | Professional | None | $208.93 | $234.42 | $309.03 |
Molina Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Providence Setting Facility Modifier None Typical Low $173.78 Median $257.04 Typical High $645.65 | Facility | None | $173.78 | $257.04 | $645.65 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $245.47 | Professional | None | $60.26 | $60.26 | $245.47 |
Sutter Health Plus Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $245.47 | Facility | None | $104.71 | $104.71 | $245.47 |
United Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $660.69 | Professional | None | $91.20 | $125.89 | $660.69 |
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 $81.28 Median $186.21 Typical High $562.34 | Facility | 52 · Reduced service | $81.28 | $186.21 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $32.36 Median $74.13 Typical High $223.87 | Facility | 53 · Discontinued | $32.36 | $74.13 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $91.20 Typical High $100.00 | Professional | 52 · Reduced service | $81.28 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $36.31 Typical High $39.81 | Professional | 53 · Discontinued | $32.36 | $36.31 | $39.81 |
Where California sits
The same service costs 7.4 times more in Alaska than in Georgia. 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
$200
AK $447GA $60.26
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.