How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,413 to $9,333Professionalmedian $1,349 · 10th to 90th $501 to $14,125
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 $1,412.54 Median $3,311.31 Typical High $10,964.78 | Facility | None | $1,412.54 | $3,311.31 | $10,964.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,621.81 Typical High $1,621.81 | Professional | None (both parts) | $1,412.54 | $1,621.81 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $5,495.41 Typical High $9,549.93 | Facility | None | $512.86 | $5,495.41 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $501.19 Median $524.81 Typical High $6,918.31 | Professional | None (both parts) | $501.19 | $524.81 | $6,918.31 |
Blue Shield Setting Facility Modifier None Typical Low $2,089.30 Median $3,388.44 Typical High $5,248.07 | Facility | None | $2,089.30 | $3,388.44 | $5,248.07 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,230.27 Typical High $3,235.94 | Professional | None (both parts) | $870.96 | $1,230.27 | $3,235.94 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,698.24 Typical High $3,235.94 | Professional | None (both parts) | $1,513.56 | $1,698.24 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $2,754.23 Typical High $6,165.95 | Facility | None | $1,445.44 | $2,754.23 | $6,165.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,089.30 Typical High $2,570.40 | Professional | None | $1,905.46 | $2,089.30 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $4,365.16 | Professional | None | $1,698.24 | $2,089.30 | $4,365.16 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $9,549.93 Median $14,125.38 Typical High $14,125.38 | Professional | None (both parts) | $9,549.93 | $14,125.38 | $14,125.38 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $9,549.93 Median $14,125.38 Typical High $14,125.38 | Professional | TC · Technical part | $9,549.93 | $14,125.38 | $14,125.38 |
Providence Setting Facility Modifier None Typical Low $1,621.81 Median $2,290.87 Typical High $5,011.87 | Facility | None | $1,621.81 | $2,290.87 | $5,011.87 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,089.30 Typical High $3,311.31 | Professional | None (both parts) | $1,905.46 | $2,089.30 | $3,311.31 |
United Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,148.15 Typical High $8,317.64 | Professional | None (both parts) | $794.33 | $1,148.15 | $8,317.64 |
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 $707.95 Median $1,621.81 Typical High $5,495.41 | Facility | 52 · Reduced service | $707.95 | $1,621.81 | $5,495.41 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $281.84 Median $660.69 Typical High $2,187.76 | Facility | 53 · Discontinued | $281.84 | $660.69 | $2,187.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $707.95 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $281.84 | $323.59 | $323.59 |
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· 32nd of 51
$1,445
TX $9,550NM $794
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.