How much rates vary
Facilitymedian $7,586 · 10th to 90th $3,802 to $25,119Professionalmedian $3,802 · 10th to 90th $1,995 to $37,154
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 $3,715.35 Median $8,709.64 Typical High $28,840.32 | Facility | None | $3,715.35 | $8,709.64 | $28,840.32 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,715.35 Median $4,265.80 Typical High $4,265.80 | Professional | None (both parts) | $3,715.35 | $4,265.80 | $4,265.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $12,589.25 Median $25,118.86 Typical High $25,118.86 | Facility | None | $12,589.25 | $25,118.86 | $25,118.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $2,137.96 Typical High $18,197.01 | Professional | None (both parts) | $1,995.26 | $2,137.96 | $18,197.01 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $3,235.94 Typical High $8,709.64 | Professional | None (both parts) | $2,290.87 | $3,235.94 | $8,709.64 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $4,466.84 Typical High $8,511.38 | Professional | None (both parts) | $3,981.07 | $4,466.84 | $8,511.38 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $7,244.36 Typical High $16,218.10 | Facility | None | $3,801.89 | $7,244.36 | $16,218.10 |
Contra Costa Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,495.41 Typical High $6,760.83 | Professional | None | $5,011.87 | $5,495.41 | $6,760.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,466.84 Median $5,495.41 Typical High $11,481.54 | Professional | None | $4,466.84 | $5,495.41 | $11,481.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $25,118.86 Median $37,153.52 Typical High $37,153.52 | Professional | None (both parts) | $25,118.86 | $37,153.52 | $37,153.52 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $25,118.86 Median $37,153.52 Typical High $37,153.52 | Professional | TC · Technical part | $25,118.86 | $37,153.52 | $37,153.52 |
Providence Setting Facility Modifier None Typical Low $4,265.80 Median $6,025.60 Typical High $13,182.57 | Facility | None | $4,265.80 | $6,025.60 | $13,182.57 |
Providence Setting Professional Modifier None (both parts) Typical Low $5,011.87 Median $5,495.41 Typical High $8,709.64 | Professional | None (both parts) | $5,011.87 | $5,495.41 | $8,709.64 |
United Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $3,019.95 Typical High $21,877.62 | Professional | None (both parts) | $2,089.30 | $3,019.95 | $21,877.62 |
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 $1,862.09 Median $4,365.16 Typical High $14,454.40 | Facility | 52 · Reduced service | $1,862.09 | $4,365.16 | $14,454.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $758.58 Median $1,737.80 Typical High $5,754.40 | Facility | 53 · Discontinued | $758.58 | $1,737.80 | $5,754.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,862.09 Median $2,137.96 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,862.09 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $851.14 Typical High $851.14 | Professional | 53 · Discontinued | $758.58 | $851.14 | $851.14 |
Where California sits
The same service costs 12.0 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· 26th of 51
$4,169
TX $25,119AL $2,089
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.