How much rates vary
Facilitymedian $676 · 10th to 90th $200 to $2,399Professionalmedian $195 · 10th to 90th $58 to $1,950
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 $194.98 Median $446.68 Typical High $1,513.56 | Facility | None | $194.98 | $446.68 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $194.98 | $223.87 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $1,288.25 Typical High $1,318.26 | Facility | None | $660.69 | $1,288.25 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $63.10 Typical High $933.25 | Professional | None (both parts) | $57.54 | $63.10 | $933.25 |
Blue Shield Setting Facility Modifier None Typical Low $338.84 Median $1,479.11 Typical High $2,818.38 | Facility | None | $338.84 | $1,479.11 | $2,818.38 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $117.49 Median $169.82 Typical High $446.68 | Professional | None (both parts) | $117.49 | $169.82 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $338.84 Typical High $707.95 | Facility | None | $186.21 | $338.84 | $707.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $616.60 Typical High $660.69 | Professional | TC · Technical part | $616.60 | $616.60 | $660.69 |
Contra Costa Health Setting Professional Modifier None Typical Low $263.03 Median $288.40 Typical High $354.81 | Professional | None | $263.03 | $288.40 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $660.69 | Professional | None | $234.42 | $288.40 | $660.69 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $1,288.25 | $1,949.84 | $1,949.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,949.84 Typical High $1,949.84 | Professional | TC · Technical part | $1,318.26 | $1,949.84 | $1,949.84 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $309.03 Typical High $691.83 | Facility | None | $223.87 | $309.03 | $691.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $263.03 Median $288.40 Typical High $457.09 | Professional | None (both parts) | $263.03 | $288.40 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $1,148.15 | Professional | None (both parts) | $109.65 | $154.88 | $1,148.15 |
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 $97.72 Median $223.87 Typical High $741.31 | Facility | 52 · Reduced service | $97.72 | $223.87 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $89.13 Typical High $302.00 | Facility | 53 · Discontinued | $38.90 | $89.13 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $97.72 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $38.90 | $44.67 | $44.67 |
Where California sits
The same service costs 5.4 times more in Alaska 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· 27th of 51
$224
AK $589OH $110
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.