How much rates vary
Facilitymedian $5,495 · 10th to 90th $1,622 to $19,498Professionalmedian $1,622 · 10th to 90th $21 to $15,849
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 $1,584.89 Median $3,630.78 Typical High $12,302.69 | Facility | None | $1,584.89 | $3,630.78 | $12,302.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $1,584.89 | $1,819.70 | $1,819.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,370.32 Median $10,471.29 Typical High $10,715.19 | Facility | None | $5,370.32 | $10,471.29 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.38 Median $23.44 Typical High $7,762.47 | Professional | None (both parts) | $21.38 | $23.44 | $7,762.47 |
Blue Shield Setting Facility Modifier None Typical Low $2,818.38 Median $12,302.69 Typical High $22,908.68 | Facility | None | $2,818.38 | $12,302.69 | $22,908.68 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,380.38 Typical High $3,630.78 | Professional | None (both parts) | $977.24 | $1,380.38 | $3,630.78 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,905.46 Typical High $3,630.78 | Professional | None (both parts) | $1,698.24 | $1,905.46 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $2,818.38 Typical High $5,754.40 | Facility | None | $1,479.11 | $2,818.38 | $5,754.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $5,011.87 Median $5,011.87 Typical High $5,370.32 | Professional | TC · Technical part | $5,011.87 | $5,011.87 | $5,370.32 |
Contra Costa Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,344.23 Typical High $2,884.03 | Professional | None | $2,137.96 | $2,344.23 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $5,370.32 | Professional | None | $1,905.46 | $2,344.23 | $5,370.32 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $10,471.29 Median $15,848.93 Typical High $15,848.93 | Professional | None (both parts) | $10,471.29 | $15,848.93 | $15,848.93 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $10,715.19 Median $15,848.93 Typical High $15,848.93 | Professional | TC · Technical part | $10,715.19 | $15,848.93 | $15,848.93 |
Providence Setting Facility Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $5,623.41 | Facility | None | $1,819.70 | $2,511.89 | $5,623.41 |
Providence Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,344.23 Typical High $3,715.35 | Professional | None (both parts) | $2,137.96 | $2,344.23 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,288.25 Typical High $9,332.54 | Professional | None (both parts) | $891.25 | $1,288.25 | $9,332.54 |
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 $794.33 Median $1,819.70 Typical High $6,165.95 | Facility | 52 · Reduced service | $794.33 | $1,819.70 | $6,165.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $316.23 Median $741.31 Typical High $2,454.71 | Facility | 53 · Discontinued | $316.23 | $741.31 | $2,454.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $794.33 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $794.33 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $316.23 | $363.08 | $363.08 |
Where California sits
The same service costs 229.1 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· 26th of 51
$1,820
TX $10,471OH $45.71
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.