How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,995 to $13,183Professionalmedian $1,738 · 10th to 90th $209 to $19,953
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 $1,995.26 Median $4,570.88 Typical High $15,135.61 | Facility | None | $1,995.26 | $4,570.88 | $15,135.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $2,238.72 Typical High $2,238.72 | Professional | None (both parts) | $1,995.26 | $2,238.72 | $2,238.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,606.93 Median $13,182.57 Typical High $13,489.63 | Facility | None | $6,606.93 | $13,182.57 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $218.78 Typical High $9,549.93 | Professional | None (both parts) | $208.93 | $218.78 | $9,549.93 |
Blue Shield Setting Facility Modifier None Typical Low $2,884.03 Median $4,677.35 Typical High $7,244.36 | Facility | None | $2,884.03 | $4,677.35 | $7,244.36 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,737.80 Typical High $4,570.88 | Professional | None (both parts) | $1,202.26 | $1,737.80 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $3,801.89 Typical High $8,511.38 | Facility | None | $1,995.26 | $3,801.89 | $8,511.38 |
Contra Costa Health Setting Professional Modifier None Typical Low $2,630.27 Median $2,884.03 Typical High $3,548.13 | Professional | None | $2,630.27 | $2,884.03 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,398.83 Median $2,884.03 Typical High $6,025.60 | Professional | None | $2,398.83 | $2,884.03 | $6,025.60 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $13,182.57 Median $19,952.62 Typical High $19,952.62 | Professional | None (both parts) | $13,182.57 | $19,952.62 | $19,952.62 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $13,182.57 Median $19,952.62 Typical High $19,952.62 | Professional | TC · Technical part | $13,182.57 | $19,952.62 | $19,952.62 |
Providence Setting Facility Modifier None Typical Low $2,238.72 Median $3,235.94 Typical High $6,918.31 | Facility | None | $2,238.72 | $3,235.94 | $6,918.31 |
Providence Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $2,884.03 Typical High $4,677.35 | Professional | None (both parts) | $2,630.27 | $2,884.03 | $4,677.35 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $2,630.27 | Facility | None | $1,122.02 | $1,122.02 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,584.89 Typical High $11,748.98 | Professional | None (both parts) | $1,122.02 | $1,584.89 | $11,748.98 |
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 $1,000.00 Median $2,290.87 Typical High $7,585.78 | Facility | 52 · Reduced service | $1,000.00 | $2,290.87 | $7,585.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $398.11 Median $912.01 Typical High $3,019.95 | Facility | 53 · Discontinued | $398.11 | $912.01 | $3,019.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,122.02 Typical High $1,122.02 | Professional | 52 · Reduced service | $1,000.00 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $446.68 Typical High $446.68 | Professional | 53 · Discontinued | $398.11 | $446.68 | $446.68 |
Where California sits
The same service costs 33.9 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· 30th of 51
$1,995
TX $13,183OH $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.