How much rates vary
Facilitymedian $468 · 10th to 90th $186 to $1,230Professionalmedian $186 · 10th to 90th $66 to $1,862
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 $186.21 Median $562.34 Typical High $1,513.56 | Facility | None | $186.21 | $562.34 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $199.53 | Professional | None (both parts) | $186.21 | $186.21 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $1,230.27 Typical High $1,258.93 | Facility | None | $630.96 | $1,230.27 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $223.87 | Professional | None (both parts) | $66.07 | $66.07 | $223.87 |
Blue Shield Setting Facility Modifier None Typical Low $177.83 Median $575.44 Typical High $741.31 | Facility | None | $177.83 | $575.44 | $741.31 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $112.20 Median $162.18 Typical High $426.58 | Professional | None (both parts) | $112.20 | $162.18 | $426.58 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $199.53 | $223.87 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $436.52 Typical High $794.33 | Facility | None | $177.83 | $436.52 | $794.33 |
Contra Costa Health Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $338.84 | Professional | None | $199.53 | $275.42 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $275.42 Typical High $575.44 | Professional | None | $223.87 | $275.42 | $575.44 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,862.09 Typical High $1,862.09 | Professional | None (both parts) | $1,230.27 | $1,862.09 | $1,862.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $1,862.09 Typical High $1,862.09 | Professional | TC · Technical part | $1,548.82 | $1,862.09 | $1,862.09 |
Providence Setting Facility Modifier None Typical Low $194.98 Median $331.13 Typical High $758.58 | Facility | None | $194.98 | $331.13 | $758.58 |
Providence Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $371.54 | Professional | None (both parts) | $251.19 | $275.42 | $371.54 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $251.19 | Facility | None | $104.71 | $104.71 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $147.91 Typical High $1,096.48 | Professional | None (both parts) | $104.71 | $147.91 | $1,096.48 |
5 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 $93.33 Median $213.80 Typical High $707.95 | Facility | 52 · Reduced service | $93.33 | $213.80 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $85.11 Typical High $288.40 | Facility | 53 · Discontinued | $37.15 | $85.11 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $186.21 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $93.33 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $37.15 | $42.66 | $42.66 |
Where California sits
The same service costs 18.6 times more in Texas 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· 31st of 51
$219
TX $1,230GA $66.07
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.