How much rates vary
Facilitymedian $617 · 10th to 90th $224 to $1,698Professionalmedian $324 · 10th to 90th $219 to $4,169
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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $1,023.29 Typical High $2,041.74 | Facility | None | $218.78 | $1,023.29 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $275.42 Median $363.08 Typical High $870.96 | Professional | None | $275.42 | $363.08 | $870.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | RR · Rental | $275.42 | $275.42 | $281.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | UE · Used equipment | $208.93 | $208.93 | $208.93 |
Blue Shield Setting Facility Modifier None Typical Low $363.08 Median $891.25 Typical High $1,479.11 | Facility | None | $363.08 | $891.25 | $1,479.11 |
Blue Shield Setting Professional Modifier None Typical Low $676.08 Median $1,258.93 Typical High $2,290.87 | Professional | None | $676.08 | $1,258.93 | $2,290.87 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $501.19 | Professional | None | $323.59 | $354.81 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | None | $218.78 | $218.78 | $295.12 |
Contra Costa Health Setting Professional Modifier None Typical Low $323.59 Median $616.60 Typical High $676.08 | Professional | None | $323.59 | $616.60 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $1,096.48 | Professional | None | $371.54 | $512.86 | $1,096.48 |
Lucent Health Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $4,168.69 | Professional | None | $2,951.21 | $2,951.21 | $4,168.69 |
Molina Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $616.60 | Facility | None | $151.36 | $295.12 | $616.60 |
Providence Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | None | $218.78 | $218.78 | $295.12 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $616.60 | Facility | None | $524.81 | $524.81 | $616.60 |
United Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $776.25 | Professional | None | $213.80 | $275.42 | $776.25 |
1 more rate 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 ST · Trauma related Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | ST · Trauma related | $398.11 | $398.11 | $398.11 |
Where California sits
The same service costs 3.2 times more in Hawaii than in Delaware. 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· 21st of 51
$324
HI $708DE $219
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.