How much rates vary
Facilitymedian $11,220 · 10th to 90th $4,677 to $44,668Professionalmedian $4,677 · 10th to 90th $2,188 to $40,738
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 $4,570.88 Median $12,022.64 Typical High $28,183.83 | Facility | None | $4,570.88 | $12,022.64 | $28,183.83 |
Aetna Setting Professional Modifier None Typical Low $4,168.69 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,168.69 | $4,677.35 | $4,677.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,606.93 Median $9,772.37 Typical High $26,915.35 | Facility | None | $6,606.93 | $9,772.37 | $26,915.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,754.23 Typical High $19,952.62 | Professional | None | $2,187.76 | $2,754.23 | $19,952.62 |
Blue Shield Setting Facility Modifier None Typical Low $7,244.36 Median $31,622.78 Typical High $58,884.37 | Facility | None | $7,244.36 | $31,622.78 | $58,884.37 |
Blue Shield Setting Professional Modifier None Typical Low $2,511.89 Median $3,548.13 Typical High $9,549.93 | Professional | None | $2,511.89 | $3,548.13 | $9,549.93 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $9,549.93 Typical High $17,378.01 | Facility | None | $3,801.89 | $9,549.93 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $6,025.60 Typical High $26,915.35 | Professional | None | $2,951.21 | $6,025.60 | $26,915.35 |
Contra Costa Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,888.44 Typical High $7,244.36 | Professional | None | $5,370.32 | $5,888.44 | $7,244.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,897.79 Median $5,888.44 Typical High $14,454.40 | Professional | None | $4,897.79 | $5,888.44 | $14,454.40 |
Lucent Health Setting Professional Modifier None Typical Low $26,915.35 Median $40,738.03 Typical High $40,738.03 | Professional | None | $26,915.35 | $40,738.03 | $40,738.03 |
Providence Setting Facility Modifier None Typical Low $4,168.69 Median $7,244.36 Typical High $16,982.44 | Facility | None | $4,168.69 | $7,244.36 | $16,982.44 |
Providence Setting Professional Modifier None Typical Low $2,951.21 Median $6,309.57 Typical High $26,915.35 | Professional | None | $2,951.21 | $6,309.57 | $26,915.35 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $5,370.32 | Facility | None | $2,290.87 | $2,290.87 | $5,370.32 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $3,311.31 Typical High $23,988.33 | Professional | None | $2,290.87 | $3,311.31 | $23,988.33 |
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 $2,290.87 Median $5,888.44 Typical High $14,125.38 | Facility | 52 · Reduced service | $2,290.87 | $5,888.44 | $14,125.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $912.01 Median $2,398.83 Typical High $5,754.40 | Facility | 53 · Discontinued | $912.01 | $2,398.83 | $5,754.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,041.74 Median $2,344.23 Typical High $2,344.23 | Professional | 52 · Reduced service | $2,041.74 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $831.76 Median $933.25 Typical High $933.25 | Professional | 53 · Discontinued | $831.76 | $933.25 | $933.25 |
Where California sits
The same service costs 6.2 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
$5,370
TX $14,125AL $2,291
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.