How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,318 to $8,710Professionalmedian $1,585 · 10th to 90th $1,047 to $14,791
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 $1,318.26 Median $3,019.95 Typical High $10,000.00 | Facility | None | $1,318.26 | $3,019.95 | $10,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,318.26 | $1,479.11 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $8,709.64 Typical High $8,912.51 | Facility | None | $4,897.79 | $8,709.64 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,445.44 Typical High $2,691.53 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $2,691.53 |
Blue Shield Setting Facility Modifier None Typical Low $1,258.93 Median $3,311.31 Typical High $5,128.61 | Facility | None | $1,258.93 | $3,311.31 | $5,128.61 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,258.93 Typical High $3,388.44 | Professional | None (both parts) | $891.25 | $1,258.93 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $2,570.40 Typical High $5,128.61 | Facility | None | $1,202.26 | $2,570.40 | $5,128.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $4,677.35 Median $4,677.35 Typical High $4,897.79 | Professional | TC · Technical part | $4,677.35 | $4,677.35 | $4,897.79 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,949.84 Median $2,137.96 Typical High $2,630.27 | Professional | None | $1,949.84 | $2,137.96 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $2,137.96 Typical High $4,466.84 | Professional | None | $1,737.80 | $2,137.96 | $4,466.84 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $9,772.37 Median $14,791.08 Typical High $14,791.08 | Professional | None (both parts) | $9,772.37 | $14,791.08 | $14,791.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $9,772.37 Median $14,791.08 Typical High $14,791.08 | Professional | TC · Technical part | $9,772.37 | $14,791.08 | $14,791.08 |
Providence Setting Facility Modifier None Typical Low $1,479.11 Median $2,238.72 Typical High $5,128.61 | Facility | None | $1,479.11 | $2,238.72 | $5,128.61 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $3,090.30 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $3,090.30 |
United Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $1,949.84 | Facility | None | $812.83 | $812.83 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,047.13 Typical High $7,762.47 | Professional | None (both parts) | $741.31 | $1,047.13 | $7,762.47 |
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 $660.69 Median $1,513.56 Typical High $5,011.87 | Facility | 52 · Reduced service | $660.69 | $1,513.56 | $5,011.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $263.03 Median $602.56 Typical High $2,041.74 | Facility | 53 · Discontinued | $263.03 | $602.56 | $2,041.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $660.69 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $660.69 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $263.03 | $295.12 | $295.12 |
Where California sits
The same service costs 154.9 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· 24th of 51
$1,660
TX $9,772AL $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.