How much rates vary
Facilitymedian $9,120 · 10th to 90th $2,754 to $33,113Professionalmedian $3,020 · 10th to 90th $1,445 to $26,915
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 $2,691.53 Median $6,165.95 Typical High $20,892.96 | Facility | None | $2,691.53 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $2,691.53 | $3,090.30 | $3,090.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,120.11 Median $17,782.79 Typical High $18,197.01 | Facility | None | $9,120.11 | $17,782.79 | $18,197.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,584.89 Typical High $12,882.50 | Professional | None (both parts) | $1,445.44 | $1,584.89 | $12,882.50 |
Blue Shield Setting Facility Modifier None Typical Low $4,677.35 Median $20,892.96 Typical High $38,904.51 | Facility | None | $4,677.35 | $20,892.96 | $38,904.51 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $2,344.23 Typical High $6,165.95 | Professional | None (both parts) | $1,621.81 | $2,344.23 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $4,677.35 Typical High $9,772.37 | Facility | None | $2,454.71 | $4,677.35 | $9,772.37 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8,511.38 Median $8,511.38 Typical High $9,120.11 | Professional | TC · Technical part | $8,511.38 | $8,511.38 | $9,120.11 |
Contra Costa Health Setting Professional Modifier None Typical Low $3,630.78 Median $3,981.07 Typical High $4,897.79 | Professional | None | $3,630.78 | $3,981.07 | $4,897.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,235.94 Median $3,981.07 Typical High $9,120.11 | Professional | None | $3,235.94 | $3,981.07 | $9,120.11 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $17,782.79 Median $26,915.35 Typical High $26,915.35 | Professional | None (both parts) | $17,782.79 | $26,915.35 | $26,915.35 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $18,197.01 Median $26,915.35 Typical High $26,915.35 | Professional | TC · Technical part | $18,197.01 | $26,915.35 | $26,915.35 |
Providence Setting Facility Modifier None Typical Low $3,090.30 Median $4,265.80 Typical High $9,549.93 | Facility | None | $3,090.30 | $4,265.80 | $9,549.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $3,981.07 Typical High $6,309.57 | Professional | None (both parts) | $3,630.78 | $3,981.07 | $6,309.57 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $3,630.78 | Facility | None | $1,513.56 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $2,137.96 Typical High $15,848.93 | Professional | None (both parts) | $1,513.56 | $2,137.96 | $15,848.93 |
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 $1,348.96 Median $3,090.30 Typical High $10,471.29 | Facility | 52 · Reduced service | $1,348.96 | $3,090.30 | $10,471.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $537.03 Median $1,230.27 Typical High $4,168.69 | Facility | 53 · Discontinued | $537.03 | $1,230.27 | $4,168.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,348.96 Median $1,513.56 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,348.96 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $616.60 Typical High $616.60 | Professional | 53 · Discontinued | $537.03 | $616.60 | $616.60 |
Where California sits
The same service costs 8.9 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· 27th of 51
$3,090
TX $13,490NM $1,514
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.