How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,479 to $9,550Professionalmedian $1,778 · 10th to 90th $1,175 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 $1,479.11 Median $3,388.44 Typical High $11,220.18 | Facility | None | $1,479.11 | $3,388.44 | $11,220.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $1,479.11 | $1,659.59 | $1,659.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $9,772.37 Typical High $10,000.00 | Facility | None | $4,897.79 | $9,772.37 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,659.59 Typical High $7,079.46 | Professional | None (both parts) | $1,548.82 | $1,659.59 | $7,079.46 |
Blue Shield Setting Facility Modifier None Typical Low $2,137.96 Median $3,467.37 Typical High $5,370.32 | Facility | None | $2,137.96 | $3,467.37 | $5,370.32 |
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 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,737.80 Typical High $3,311.31 | Professional | None (both parts) | $1,548.82 | $1,737.80 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $2,818.38 Typical High $6,309.57 | Facility | None | $1,479.11 | $2,818.38 | $6,309.57 |
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 $1,659.59 Median $2,344.23 Typical High $5,128.61 | Facility | None | $1,659.59 | $2,344.23 | $5,128.61 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,137.96 Typical High $3,388.44 | Professional | None (both parts) | $1,949.84 | $2,137.96 | $3,388.44 |
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 $812.83 Median $1,174.90 Typical High $8,511.38 | Professional | None (both parts) | $812.83 | $1,174.90 | $8,511.38 |
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 $724.44 Median $1,698.24 Typical High $5,623.41 | Facility | 52 · Reduced service | $724.44 | $1,698.24 | $5,623.41 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $295.12 Median $676.08 Typical High $2,238.72 | Facility | 53 · Discontinued | $295.12 | $676.08 | $2,238.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $724.44 Median $831.76 Typical High $831.76 | Professional | 52 · Reduced service | $724.44 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $295.12 | $331.13 | $331.13 |
Where California sits
The same service costs 16.6 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· 23rd of 51
$1,862
TX $9,772AL $589
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.