How much rates vary
Facilitymedian $6,310 · 10th to 90th $3,162 to $20,893Professionalmedian $2,692 · 10th to 90th $209 to $31,623
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 $3,162.28 Median $7,244.36 Typical High $23,988.33 | Facility | None | $3,162.28 | $7,244.36 | $23,988.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,548.13 Typical High $3,548.13 | Professional | None (both parts) | $3,162.28 | $3,548.13 | $3,548.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,471.29 Median $20,892.96 Typical High $21,379.62 | Facility | None | $10,471.29 | $20,892.96 | $21,379.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $218.78 Typical High $15,135.61 | Professional | None (both parts) | $208.93 | $218.78 | $15,135.61 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,691.53 Typical High $7,244.36 | Professional | None (both parts) | $1,905.46 | $2,691.53 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $6,025.60 Typical High $13,489.63 | Facility | None | $3,162.28 | $6,025.60 | $13,489.63 |
Contra Costa Health Setting Professional Modifier None Typical Low $4,168.69 Median $4,570.88 Typical High $5,623.41 | Professional | None | $4,168.69 | $4,570.88 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,801.89 Median $4,570.88 Typical High $9,549.93 | Professional | None | $3,801.89 | $4,570.88 | $9,549.93 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $20,892.96 Median $31,622.78 Typical High $31,622.78 | Professional | None (both parts) | $20,892.96 | $31,622.78 | $31,622.78 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $20,892.96 Median $31,622.78 Typical High $31,622.78 | Professional | TC · Technical part | $20,892.96 | $31,622.78 | $31,622.78 |
Providence Setting Facility Modifier None Typical Low $3,548.13 Median $5,128.61 Typical High $10,964.78 | Facility | None | $3,548.13 | $5,128.61 | $10,964.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $4,570.88 Typical High $7,244.36 | Professional | None (both parts) | $4,168.69 | $4,570.88 | $7,244.36 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $4,168.69 | Facility | None | $1,737.80 | $1,737.80 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,511.89 Typical High $18,620.87 | Professional | None (both parts) | $1,737.80 | $2,511.89 | $18,620.87 |
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 $1,584.89 Median $3,630.78 Typical High $12,022.64 | Facility | 52 · Reduced service | $1,584.89 | $3,630.78 | $12,022.64 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $630.96 Median $1,445.44 Typical High $4,786.30 | Facility | 53 · Discontinued | $630.96 | $1,445.44 | $4,786.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,584.89 Median $1,778.28 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,584.89 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $707.95 Typical High $707.95 | Professional | 53 · Discontinued | $630.96 | $707.95 | $707.95 |
Where California sits
The same service costs 67.6 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· 31st of 51
$3,162
TX $20,893OH $309
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.