How much rates vary
Facilitymedian $1,995 · 10th to 90th $575 to $7,079Professionalmedian $631 · 10th to 90th $302 to $5,754
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 $575.44 Median $1,318.26 Typical High $4,365.16 | Facility | None | $575.44 | $1,318.26 | $4,365.16 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $575.44 | $645.65 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $3,801.89 Typical High $3,890.45 | Facility | None | $1,905.46 | $3,801.89 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $331.13 Typical High $2,754.23 | Professional | None (both parts) | $302.00 | $331.13 | $2,754.23 |
Blue Shield Setting Facility Modifier None Typical Low $1,000.00 Median $4,365.16 Typical High $8,317.64 | Facility | None | $1,000.00 | $4,365.16 | $8,317.64 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $346.74 Median $489.78 Typical High $1,318.26 | Professional | None (both parts) | $346.74 | $489.78 | $1,318.26 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $691.83 Typical High $1,288.25 | Professional | None (both parts) | $602.56 | $691.83 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $2,041.74 | Facility | None | $549.54 | $1,000.00 | $2,041.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,819.70 Median $1,819.70 Typical High $1,949.84 | Professional | TC · Technical part | $1,819.70 | $1,819.70 | $1,949.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $1,023.29 | Professional | None | $758.58 | $831.76 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $1,905.46 | Professional | None | $691.83 | $831.76 | $1,905.46 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,801.89 Median $5,754.40 Typical High $5,754.40 | Professional | None (both parts) | $3,801.89 | $5,754.40 | $5,754.40 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,801.89 Median $5,754.40 Typical High $5,754.40 | Professional | TC · Technical part | $3,801.89 | $5,754.40 | $5,754.40 |
Providence Setting Facility Modifier None Typical Low $645.65 Median $912.01 Typical High $1,995.26 | Facility | None | $645.65 | $912.01 | $1,995.26 |
Providence Setting Professional Modifier None (both parts) Typical Low $758.58 Median $831.76 Typical High $1,318.26 | Professional | None (both parts) | $758.58 | $831.76 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $457.09 Typical High $3,388.44 | Professional | None (both parts) | $316.23 | $457.09 | $3,388.44 |
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 $281.84 Median $660.69 Typical High $2,187.76 | Facility | 52 · Reduced service | $281.84 | $660.69 | $2,187.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $114.82 Median $263.03 Typical High $870.96 | Facility | 53 · Discontinued | $114.82 | $263.03 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $281.84 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $114.82 | $128.82 | $128.82 |
Where California sits
The same service costs 12.0 times more in Texas than in New Mexico. 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· 28th of 51
$646
TX $3,802NM $316
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.