How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,023 to $12,303Professionalmedian $1,148 · 10th to 90th $603 to $10,000
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 $1,000.00 Median $2,290.87 Typical High $7,762.47 | Facility | None | $1,000.00 | $2,290.87 | $7,762.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $1,000.00 | $1,148.15 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $6,606.93 Typical High $6,760.83 | Facility | None | $3,388.44 | $6,606.93 | $6,760.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $691.83 Median $776.25 Typical High $4,786.30 | Professional | None (both parts) | $691.83 | $776.25 | $4,786.30 |
Blue Shield Setting Facility Modifier None Typical Low $1,737.80 Median $7,585.78 Typical High $14,454.40 | Facility | None | $1,737.80 | $7,585.78 | $14,454.40 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $602.56 Median $870.96 Typical High $2,290.87 | Professional | None (both parts) | $602.56 | $870.96 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,737.80 Typical High $3,630.78 | Facility | None | $954.99 | $1,737.80 | $3,630.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3,162.28 Median $3,162.28 Typical High $3,388.44 | Professional | TC · Technical part | $3,162.28 | $3,162.28 | $3,388.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,479.11 Typical High $1,819.70 | Professional | None | $1,348.96 | $1,479.11 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $3,388.44 | Professional | None | $1,202.26 | $1,479.11 | $3,388.44 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,606.93 Median $10,000.00 Typical High $10,000.00 | Professional | None (both parts) | $6,606.93 | $10,000.00 | $10,000.00 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $6,760.83 Median $10,000.00 Typical High $10,000.00 | Professional | TC · Technical part | $6,760.83 | $10,000.00 | $10,000.00 |
Providence Setting Facility Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $3,548.13 | Facility | None | $1,148.15 | $1,621.81 | $3,548.13 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,479.11 Typical High $2,344.23 | Professional | None (both parts) | $1,348.96 | $1,479.11 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $794.33 Typical High $5,888.44 | Professional | None (both parts) | $562.34 | $794.33 | $5,888.44 |
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 $501.19 Median $1,148.15 Typical High $3,801.89 | Facility | 52 · Reduced service | $501.19 | $1,148.15 | $3,801.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $199.53 Median $457.09 Typical High $1,548.82 | Facility | 53 · Discontinued | $199.53 | $457.09 | $1,548.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $501.19 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $199.53 | $229.09 | $229.09 |
Where California sits
The same service costs 104.7 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· 27th of 51
$1,202
TX $6,607AL $63.10
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.