How much rates vary
Facilitymedian $5,495 · 10th to 90th $2,570 to $16,982Professionalmedian $2,239 · 10th to 90th $324 to $25,704
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 $2,570.40 Median $5,888.44 Typical High $19,952.62 | Facility | None | $2,570.40 | $5,888.44 | $19,952.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $2,951.21 Typical High $2,951.21 | Professional | None (both parts) | $2,570.40 | $2,951.21 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,709.64 Median $16,982.44 Typical High $17,378.01 | Facility | None | $8,709.64 | $16,982.44 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $346.74 Typical High $12,302.69 | Professional | None (both parts) | $323.59 | $346.74 | $12,302.69 |
Blue Shield Setting Facility Modifier None Typical Low $3,715.35 Median $6,165.95 Typical High $9,549.93 | Facility | None | $3,715.35 | $6,165.95 | $9,549.93 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $2,238.72 Typical High $5,888.44 | Professional | None (both parts) | $1,548.82 | $2,238.72 | $5,888.44 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $3,090.30 Typical High $5,888.44 | Professional | None (both parts) | $2,754.23 | $3,090.30 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $4,897.79 Typical High $10,964.78 | Facility | None | $2,570.40 | $4,897.79 | $10,964.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $3,467.37 Median $3,801.89 Typical High $4,677.35 | Professional | None | $3,467.37 | $3,801.89 | $4,677.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,090.30 Median $3,801.89 Typical High $7,943.28 | Professional | None | $3,090.30 | $3,801.89 | $7,943.28 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $16,982.44 Median $25,703.96 Typical High $25,703.96 | Professional | None (both parts) | $16,982.44 | $25,703.96 | $25,703.96 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $17,378.01 Median $25,703.96 Typical High $25,703.96 | Professional | TC · Technical part | $17,378.01 | $25,703.96 | $25,703.96 |
Providence Setting Facility Modifier None Typical Low $2,951.21 Median $4,168.69 Typical High $9,120.11 | Facility | None | $2,951.21 | $4,168.69 | $9,120.11 |
Providence Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,801.89 Typical High $6,025.60 | Professional | None (both parts) | $3,467.37 | $3,801.89 | $6,025.60 |
United Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,041.74 Typical High $15,135.61 | Professional | None (both parts) | $1,445.44 | $2,041.74 | $15,135.61 |
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 $1,288.25 Median $2,951.21 Typical High $10,000.00 | Facility | 52 · Reduced service | $1,288.25 | $2,951.21 | $10,000.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $512.86 Median $1,174.90 Typical High $3,981.07 | Facility | 53 · Discontinued | $512.86 | $1,174.90 | $3,981.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,288.25 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,288.25 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $512.86 | $588.84 | $588.84 |
Where California sits
The same service costs 35.5 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· 33rd of 51
$2,570
TX $16,982OH $479
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.