How much rates vary
Facilitymedian $4,365 · 10th to 90th $2,188 to $14,454Professionalmedian $1,905 · 10th to 90th $209 to $21,878
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 $2,187.76 Median $5,011.87 Typical High $16,982.44 | Facility | None | $2,187.76 | $5,011.87 | $16,982.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,454.71 Typical High $2,454.71 | Professional | None (both parts) | $2,187.76 | $2,454.71 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,413.10 Median $14,454.40 Typical High $14,791.08 | Facility | None | $7,413.10 | $14,454.40 | $14,791.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $218.78 Typical High $10,471.29 | Professional | None (both parts) | $208.93 | $218.78 | $10,471.29 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,905.46 Typical High $5,011.87 | Professional | None (both parts) | $1,318.26 | $1,905.46 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $4,168.69 Typical High $9,332.54 | Facility | None | $2,187.76 | $4,168.69 | $9,332.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $2,951.21 Median $3,235.94 Typical High $3,981.07 | Professional | None | $2,951.21 | $3,235.94 | $3,981.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,630.27 Median $3,235.94 Typical High $6,760.83 | Professional | None | $2,630.27 | $3,235.94 | $6,760.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $14,454.40 Median $21,877.62 Typical High $21,877.62 | Professional | None (both parts) | $14,454.40 | $21,877.62 | $21,877.62 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $14,791.08 Median $21,877.62 Typical High $21,877.62 | Professional | TC · Technical part | $14,791.08 | $21,877.62 | $21,877.62 |
Providence Setting Facility Modifier None Typical Low $2,454.71 Median $3,548.13 Typical High $7,762.47 | Facility | None | $2,454.71 | $3,548.13 | $7,762.47 |
Providence Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $3,235.94 Typical High $5,128.61 | Professional | None (both parts) | $2,951.21 | $3,235.94 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $2,951.21 | Facility | None | $1,230.27 | $1,230.27 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,737.80 Typical High $12,882.50 | Professional | None (both parts) | $1,230.27 | $1,737.80 | $12,882.50 |
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 $1,096.48 Median $2,511.89 Typical High $8,317.64 | Facility | 52 · Reduced service | $1,096.48 | $2,511.89 | $8,317.64 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $436.52 Median $1,000.00 Typical High $3,388.44 | Facility | 53 · Discontinued | $436.52 | $1,000.00 | $3,388.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,096.48 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $436.52 | $501.19 | $501.19 |
Where California sits
The same service costs 37.2 times more in Texas than in Ohio. 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· 32nd of 51
$2,188
TX $14,454OH $389
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.