How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,778 to $5,888Professionalmedian $2,512 · 10th to 90th $1,514 to $4,266
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 $1,778.28 Median $2,187.76 Typical High $5,888.44 | Facility | None | $1,778.28 | $2,187.76 | $5,888.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,778.28 Typical High $2,187.76 | Professional | None (both parts) | $1,230.27 | $1,778.28 | $2,187.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $89.13 | $263.03 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,513.56 Typical High $2,089.30 | Professional | TC · Technical part | $1,000.00 | $1,513.56 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $2,630.27 Typical High $2,951.21 | Facility | None | $2,511.89 | $2,630.27 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $2,511.89 Typical High $4,466.84 | Professional | None (both parts) | $1,584.89 | $2,511.89 | $4,466.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $95.50 Typical High $162.18 | Professional | 26 · Professional part | $23.44 | $95.50 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $1,513.56 Typical High $2,570.40 | Professional | TC · Technical part | $537.03 | $1,513.56 | $2,570.40 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $89.13 Median $117.49 Typical High $323.59 | Professional | None (both parts) | $89.13 | $117.49 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $5,623.41 Median $6,165.95 Typical High $6,165.95 | Facility | None | $5,623.41 | $6,165.95 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,380.38 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Professional | None (both parts) | $6,025.60 | $6,025.60 | $6,025.60 |
Molina Setting Professional Modifier None (both parts) Typical Low $74.13 Median $1,905.46 Typical High $1,995.26 | Professional | None (both parts) | $74.13 | $1,905.46 | $1,995.26 |
Providence Setting Facility Modifier None Typical Low $1,778.28 Median $2,511.89 Typical High $6,165.95 | Facility | None | $1,778.28 | $2,511.89 | $6,165.95 |
Providence Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
2 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 Professional Modifier 52 · Reduced service Typical Low $602.56 Median $891.25 Typical High $1,096.48 | Professional | 52 · Reduced service | $602.56 | $891.25 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $354.81 Typical High $436.52 | Professional | 53 · Discontinued | $239.88 | $354.81 | $436.52 |
Where California sits
The same service costs 56.2 times more in Nebraska than in Montana. 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· 4th of 51
$2,512
NE $4,467MT $79.43
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.