How much rates vary
Facilitymedian $5,495 · 10th to 90th $2,239 to $12,882Professionalmedian $2,630 · 10th to 90th $1,259 to $23,442
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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $5,623.41 Typical High $15,488.17 | Facility | None | $3,801.89 | $5,623.41 | $15,488.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,288.25 Typical High $11,220.18 | Professional | None | $1,258.93 | $1,288.25 | $11,220.18 |
Blue Shield Setting Facility Modifier None Typical Low $2,238.72 Median $7,244.36 Typical High $9,120.11 | Facility | None | $2,238.72 | $7,244.36 | $9,120.11 |
Blue Shield Setting Professional Modifier None Typical Low $1,412.54 Median $2,041.74 Typical High $5,370.32 | Professional | None | $1,412.54 | $2,041.74 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $5,623.41 Typical High $10,000.00 | Facility | None | $2,290.87 | $5,623.41 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $3,311.31 Typical High $15,488.17 | Professional | None | $1,659.59 | $3,311.31 | $15,488.17 |
Contra Costa Health Setting Professional Modifier None Typical Low $3,090.30 Median $3,388.44 Typical High $4,168.69 | Professional | None | $3,090.30 | $3,388.44 | $4,168.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,818.38 Median $3,388.44 Typical High $8,317.64 | Professional | None | $2,818.38 | $3,388.44 | $8,317.64 |
Lucent Health Setting Professional Modifier None Typical Low $15,488.17 Median $15,488.17 Typical High $23,442.29 | Professional | None | $15,488.17 | $15,488.17 | $23,442.29 |
Providence Setting Facility Modifier None Typical Low $457.09 Median $4,168.69 Typical High $9,549.93 | Facility | None | $457.09 | $4,168.69 | $9,549.93 |
Providence Setting Professional Modifier None Typical Low $1,698.24 Median $3,388.44 Typical High $15,488.17 | Professional | None | $1,698.24 | $3,388.44 | $15,488.17 |
Sutter Health Plus Setting Professional Modifier None Typical Low $10,964.78 Median $10,964.78 Typical High $10,964.78 | Professional | None | $10,964.78 | $10,964.78 | $10,964.78 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $3,090.30 | Facility | None | $1,318.26 | $1,318.26 | $3,090.30 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $12,302.69 | Professional | None | $1,318.26 | $1,862.09 | $12,302.69 |
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 $158.49 Median $407.38 Typical High $1,000.00 | Facility | 52 · Reduced service | $158.49 | $407.38 | $1,000.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $64.57 Median $162.18 Typical High $398.11 | Facility | 53 · Discontinued | $64.57 | $162.18 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $933.25 | Professional | 52 · Reduced service | $158.49 | $158.49 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $371.54 | Professional | 53 · Discontinued | $64.57 | $64.57 | $371.54 |
Where California sits
The same service costs 6.0 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· 26th of 51
$3,020
TX $7,943AL $1,318
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.