How much rates vary
Facilitymedian $8,128 · 10th to 90th $3,311 to $31,623Professionalmedian $3,890 · 10th to 90th $575 to $28,840
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 $2,884.03 Median $6,760.83 Typical High $22,387.21 | Facility | None | $2,884.03 | $6,760.83 | $22,387.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $2,884.03 | $3,311.31 | $3,311.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $7,413.10 Typical High $19,054.61 | Facility | None | $5,011.87 | $7,413.10 | $19,054.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $575.44 Median $3,388.44 Typical High $14,125.38 | Professional | None (both parts) | $575.44 | $3,388.44 | $14,125.38 |
Blue Shield Setting Facility Modifier None Typical Low $5,128.61 Median $22,387.21 Typical High $41,686.94 | Facility | None | $5,128.61 | $22,387.21 | $41,686.94 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $2,511.89 Typical High $6,606.93 | Professional | None (both parts) | $1,778.28 | $2,511.89 | $6,606.93 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $3,467.37 Typical High $5,248.07 | Professional | None (both parts) | $3,090.30 | $3,467.37 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $6,918.31 Typical High $12,302.69 | Facility | None | $2,754.23 | $6,918.31 | $12,302.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None (both parts) | $2,630.27 | $2,630.27 | $2,630.27 |
Contra Costa Health Setting Professional Modifier None Typical Low $3,090.30 Median $4,265.80 Typical High $5,248.07 | Professional | None | $3,090.30 | $4,265.80 | $5,248.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,467.37 Median $4,265.80 Typical High $9,772.37 | Professional | None | $3,467.37 | $4,265.80 | $9,772.37 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $19,498.45 Median $28,840.32 Typical High $28,840.32 | Professional | None (both parts) | $19,498.45 | $28,840.32 | $28,840.32 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $24,547.09 Median $28,840.32 Typical High $28,840.32 | Professional | TC · Technical part | $24,547.09 | $28,840.32 | $28,840.32 |
Providence Setting Facility Modifier None Typical Low $3,090.30 Median $5,011.87 Typical High $11,481.54 | Facility | None | $3,090.30 | $5,011.87 | $11,481.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $3,890.45 Median $4,265.80 Typical High $5,754.40 | Professional | None (both parts) | $3,890.45 | $4,265.80 | $5,754.40 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None (both parts) | $3,890.45 | $3,890.45 | $3,890.45 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $3,890.45 | Facility | None | $1,621.81 | $1,621.81 | $3,890.45 |
United Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $2,344.23 Typical High $16,982.44 | Professional | None (both parts) | $1,621.81 | $2,344.23 | $16,982.44 |
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 $1,445.44 Median $3,311.31 Typical High $11,220.18 | Facility | 52 · Reduced service | $1,445.44 | $3,311.31 | $11,220.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $575.44 Median $1,348.96 Typical High $4,466.84 | Facility | 53 · Discontinued | $575.44 | $1,348.96 | $4,466.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,445.44 Median $1,659.59 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,445.44 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $660.69 Typical High $660.69 | Professional | 53 · Discontinued | $575.44 | $660.69 | $660.69 |
Where California sits
The same service costs 10.2 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· 9th of 51
$4,467
TX $16,596AL $1,622
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.