How much rates vary
Facilitymedian $6,026 · 10th to 90th $2,630 to $16,218Professionalmedian $3,631 · 10th to 90th $1,585 to $26,303
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 $2,630.27 Median $6,025.60 Typical High $19,952.62 | Facility | None | $2,630.27 | $6,025.60 | $19,952.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $2,951.21 Typical High $2,951.21 | Professional | None (both parts) | $2,630.27 | $2,951.21 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,709.64 Median $17,378.01 Typical High $17,782.79 | Facility | None | $8,709.64 | $17,378.01 | $17,782.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $3,162.28 Typical High $5,011.87 | Professional | None (both parts) | $199.53 | $3,162.28 | $5,011.87 |
Blue Shield Setting Facility Modifier None Typical Low $2,511.89 Median $8,128.31 Typical High $10,232.93 | Facility | None | $2,511.89 | $8,128.31 | $10,232.93 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $2,290.87 Typical High $6,025.60 | Professional | None (both parts) | $1,584.89 | $2,290.87 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $5,011.87 Typical High $10,964.78 | Facility | None | $2,398.83 | $5,011.87 | $10,964.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $3,467.37 Median $3,801.89 Typical High $4,677.35 | Professional | None | $3,467.37 | $3,801.89 | $4,677.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,162.28 Median $3,801.89 Typical High $7,943.28 | Professional | None | $3,162.28 | $3,801.89 | $7,943.28 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $17,378.01 Median $26,302.68 Typical High $26,302.68 | Professional | None (both parts) | $17,378.01 | $26,302.68 | $26,302.68 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $21,877.62 Median $26,302.68 Typical High $26,302.68 | Professional | TC · Technical part | $21,877.62 | $26,302.68 | $26,302.68 |
Providence Setting Facility Modifier None Typical Low $2,818.38 Median $4,570.88 Typical High $10,471.29 | Facility | None | $2,818.38 | $4,570.88 | $10,471.29 |
Providence Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,801.89 Typical High $6,165.95 | Professional | None (both parts) | $3,467.37 | $3,801.89 | $6,165.95 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $3,467.37 | Facility | None | $1,479.11 | $1,479.11 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,089.30 Typical High $15,488.17 | Professional | None (both parts) | $1,479.11 | $2,089.30 | $15,488.17 |
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 $1,318.26 Median $3,019.95 Typical High $10,000.00 | Facility | 52 · Reduced service | $1,318.26 | $3,019.95 | $10,000.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $524.81 Median $1,202.26 Typical High $3,981.07 | Facility | 53 · Discontinued | $524.81 | $1,202.26 | $3,981.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,318.26 Median $1,479.11 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,318.26 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $524.81 | $588.84 | $588.84 |
Where California sits
The same service costs 275.4 times more in Texas than in Alabama. 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· 10th of 51
$3,890
TX $17,378AL $63.10
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.