How much rates vary
Facilitymedian $912 · 10th to 90th $457 to $2,818Professionalmedian $457 · 10th to 90th $112 to $4,571
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 $457.09 Median $1,047.13 Typical High $3,467.37 | Facility | None | $457.09 | $1,047.13 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $457.09 | $512.86 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $3,019.95 Typical High $3,090.30 | Facility | None | $1,548.82 | $3,019.95 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $2,187.76 | Professional | None (both parts) | $112.20 | $123.03 | $2,187.76 |
Blue Shield Setting Facility Modifier None Typical Low $436.52 Median $1,148.15 Typical High $1,778.28 | Facility | None | $436.52 | $1,148.15 | $1,778.28 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $1,047.13 | Professional | None (both parts) | $275.42 | $398.11 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $794.33 Typical High $1,621.81 | Facility | None | $416.87 | $794.33 | $1,621.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $812.83 | Professional | None | $602.56 | $676.08 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $676.08 Typical High $1,412.54 | Professional | None | $549.54 | $676.08 | $1,412.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $4,570.88 Typical High $4,570.88 | Professional | None (both parts) | $3,019.95 | $4,570.88 | $4,570.88 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,090.30 Median $4,570.88 Typical High $4,570.88 | Professional | TC · Technical part | $3,090.30 | $4,570.88 | $4,570.88 |
Providence Setting Facility Modifier None Typical Low $512.86 Median $724.44 Typical High $1,584.89 | Facility | None | $512.86 | $724.44 | $1,584.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $602.56 Median $676.08 Typical High $1,071.52 | Professional | None (both parts) | $602.56 | $676.08 | $1,071.52 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $602.56 | Facility | None | $257.04 | $257.04 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $363.08 Typical High $2,691.53 | Professional | None (both parts) | $257.04 | $363.08 | $2,691.53 |
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 $229.09 Median $524.81 Typical High $1,737.80 | Facility | 52 · Reduced service | $229.09 | $524.81 | $1,737.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $91.20 Median $208.93 Typical High $691.83 | Facility | 53 · Discontinued | $91.20 | $208.93 | $691.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $229.09 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $91.20 | $102.33 | $102.33 |
Where California sits
The same service costs 21.9 times more in Alaska 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· 27th of 51
$513
AK $1,380AL $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.