How much rates vary
Facilitymedian $1,820 · 10th to 90th $550 to $6,457Professionalmedian $575 · 10th to 90th $229 to $5,370
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 $537.03 Median $1,230.27 Typical High $4,168.69 | Facility | None | $537.03 | $1,230.27 | $4,168.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $537.03 | $616.60 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,548.13 Typical High $3,630.78 | Facility | None | $1,819.70 | $3,548.13 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $251.19 Typical High $2,570.40 | Professional | None (both parts) | $229.09 | $251.19 | $2,570.40 |
Blue Shield Setting Facility Modifier None Typical Low $954.99 Median $4,168.69 Typical High $7,762.47 | Facility | None | $954.99 | $4,168.69 | $7,762.47 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $331.13 Median $467.74 Typical High $1,230.27 | Professional | None (both parts) | $331.13 | $467.74 | $1,230.27 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $575.44 Median $645.65 Typical High $1,230.27 | Professional | None (both parts) | $575.44 | $645.65 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,023.29 Typical High $2,238.72 | Facility | None | $489.78 | $1,023.29 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $1,819.70 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $1,819.70 |
Contra Costa Health Setting Professional Modifier None Typical Low $724.44 Median $794.33 Typical High $977.24 | Professional | None | $724.44 | $794.33 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $1,819.70 | Professional | None | $645.65 | $794.33 | $1,819.70 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $5,370.32 Typical High $5,370.32 | Professional | None (both parts) | $3,548.13 | $5,370.32 | $5,370.32 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $4,466.84 Median $5,370.32 Typical High $5,370.32 | Professional | TC · Technical part | $4,466.84 | $5,370.32 | $5,370.32 |
Providence Setting Facility Modifier None Typical Low $616.60 Median $933.25 Typical High $2,137.96 | Facility | None | $616.60 | $933.25 | $2,137.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $724.44 Median $794.33 Typical High $1,258.93 | Professional | None (both parts) | $724.44 | $794.33 | $1,258.93 |
United Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $724.44 | Facility | None | $302.00 | $302.00 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $436.52 Typical High $3,162.28 | Professional | None (both parts) | $302.00 | $436.52 | $3,162.28 |
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 $269.15 Median $616.60 Typical High $2,089.30 | Facility | 52 · Reduced service | $269.15 | $616.60 | $2,089.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $107.15 Median $251.19 Typical High $831.76 | Facility | 53 · Discontinued | $107.15 | $251.19 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $269.15 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $107.15 | $123.03 | $123.03 |
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· 30th of 51
$617
TX $3,090AL $302
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.