How much rates vary
Facilitymedian $4,365 · 10th to 90th $2,089 to $10,715Professionalmedian $2,291 · 10th to 90th $977 to $18,197
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 $2,041.74 Median $5,248.07 Typical High $12,589.25 | Facility | None | $2,041.74 | $5,248.07 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $2,290.87 | Professional | None | $1,819.70 | $2,089.30 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $4,365.16 Typical High $12,022.64 | Facility | None | $3,019.95 | $4,365.16 | $12,022.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $2,187.76 Typical High $8,912.51 | Professional | None | $977.24 | $2,187.76 | $8,912.51 |
Blue Shield Setting Facility Modifier None Typical Low $1,778.28 Median $4,570.88 Typical High $7,244.36 | Facility | None | $1,778.28 | $4,570.88 | $7,244.36 |
Blue Shield Setting Professional Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $4,168.69 | Professional | None | $1,122.02 | $1,584.89 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $4,365.16 Typical High $7,943.28 | Facility | None | $1,737.80 | $4,365.16 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $2,630.27 Typical High $12,022.64 | Professional | None | $1,318.26 | $2,630.27 | $12,022.64 |
Contra Costa Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,691.53 Typical High $3,311.31 | Professional | None | $2,454.71 | $2,691.53 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,187.76 Median $2,691.53 Typical High $6,606.93 | Professional | None | $2,187.76 | $2,691.53 | $6,606.93 |
Lucent Health Setting Professional Modifier None Typical Low $12,302.69 Median $18,197.01 Typical High $18,197.01 | Professional | None | $12,302.69 | $18,197.01 | $18,197.01 |
Providence Setting Facility Modifier None Typical Low $1,949.84 Median $3,311.31 Typical High $7,413.10 | Facility | None | $1,949.84 | $3,311.31 | $7,413.10 |
Providence Setting Professional Modifier None Typical Low $1,318.26 Median $2,754.23 Typical High $12,022.64 | Professional | None | $1,318.26 | $2,754.23 | $12,022.64 |
Sutter Health Plus Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Professional | None | $8,511.38 | $8,511.38 | $8,511.38 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $2,454.71 | Facility | None | $1,023.29 | $1,023.29 | $2,454.71 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,479.11 Typical High $10,715.19 | Professional | None | $1,023.29 | $1,479.11 | $10,715.19 |
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 $1,023.29 Median $2,630.27 Typical High $6,309.57 | Facility | 52 · Reduced service | $1,023.29 | $2,630.27 | $6,309.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $407.38 Median $1,071.52 Typical High $2,511.89 | Facility | 53 · Discontinued | $407.38 | $1,071.52 | $2,511.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $912.01 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $363.08 | $416.87 | $416.87 |
Where California sits
The same service costs 5.4 times more in Alaska 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· 15th of 51
$2,570
AK $5,495AL $1,023
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.