How much rates vary
Facilitymedian $537 · 10th to 90th $275 to $1,820Professionalmedian $309 · 10th to 90th $174 to $2,692
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 $269.15 Median $630.96 Typical High $2,089.30 | Facility | None | $269.15 | $630.96 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $269.15 | $309.03 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,819.70 Typical High $1,819.70 | Facility | None | $912.01 | $1,819.70 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $218.78 Typical High $1,318.26 | Professional | None (both parts) | $204.17 | $218.78 | $1,318.26 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $616.60 | Professional | None (both parts) | $165.96 | $234.42 | $616.60 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $288.40 | $323.59 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $524.81 Typical High $1,174.90 | Facility | None | $275.42 | $524.81 | $1,174.90 |
Contra Costa Health Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $489.78 | Professional | None | $363.08 | $398.11 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $398.11 Typical High $831.76 | Professional | None | $323.59 | $398.11 | $831.76 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $2,691.53 Typical High $2,691.53 | Professional | None (both parts) | $1,819.70 | $2,691.53 | $2,691.53 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,819.70 Median $2,691.53 Typical High $2,691.53 | Professional | TC · Technical part | $1,819.70 | $2,691.53 | $2,691.53 |
Providence Setting Facility Modifier None Typical Low $309.03 Median $436.52 Typical High $954.99 | Facility | None | $309.03 | $436.52 | $954.99 |
Providence Setting Professional Modifier None (both parts) Typical Low $363.08 Median $398.11 Typical High $630.96 | Professional | None (both parts) | $363.08 | $398.11 | $630.96 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $363.08 | Facility | None | $151.36 | $151.36 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $1,584.89 | Professional | None (both parts) | $151.36 | $218.78 | $1,584.89 |
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 $134.90 Median $309.03 Typical High $1,047.13 | Facility | 52 · Reduced service | $134.90 | $309.03 | $1,047.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $125.89 Typical High $416.87 | Facility | 53 · Discontinued | $53.70 | $125.89 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $134.90 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $53.70 | $61.66 | $61.66 |
Where California sits
The same service costs 12.0 times more in Texas than in New Mexico. 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
$309
TX $1,820NM $151
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.