How much rates vary
Facilitymedian $45 · 10th to 90th $29 to $74Professionalmedian $56 · 10th to 90th $41 to $380
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 $40.74 Median $42.66 Typical High $44.67 | Facility | None | $40.74 | $42.66 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $40.74 Typical High $44.67 | Professional | None (both parts) | $37.15 | $40.74 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.50 Typical High $22.39 | Professional | 26 · Professional part | $17.78 | $19.50 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.38 Typical High $23.99 | Professional | TC · Technical part | $19.50 | $21.38 | $23.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $51.29 Typical High $74.13 | Professional | None (both parts) | $48.98 | $51.29 | $74.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $34.67 | Professional | 26 · Professional part | $22.91 | $23.99 | $34.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $27.54 Typical High $38.90 | Professional | TC · Technical part | $26.30 | $27.54 | $38.90 |
Blue Shield Setting Facility Modifier None Typical Low $26.30 Median $39.81 Typical High $79.43 | Facility | None | $26.30 | $39.81 | $79.43 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $44.67 Median $63.10 Typical High $74.13 | Professional | None (both parts) | $44.67 | $63.10 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $34.67 Typical High $112.20 | Facility | None | $28.84 | $34.67 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $61.66 | $257.04 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $630.96 Typical High $831.76 | Professional | None | $128.82 | $630.96 | $831.76 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $457.09 | Professional | None (both parts) | $380.19 | $380.19 | $457.09 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $213.80 | Professional | 26 · Professional part | $190.55 | $190.55 | $213.80 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $239.88 | Professional | TC · Technical part | $190.55 | $190.55 | $239.88 |
Providence Setting Facility Modifier None Typical Low $34.67 Median $58.88 Typical High $87.10 | Facility | None | $34.67 | $58.88 | $87.10 |
Providence Setting Professional Modifier None (both parts) Typical Low $56.23 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $56.23 | $257.04 | $257.04 |
United Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $72.44 | Facility | None | $47.86 | $47.86 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $42.66 Typical High $95.50 | Professional | None (both parts) | $32.36 | $42.66 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.89 Typical High $44.67 | Professional | 26 · Professional part | $15.85 | $20.89 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $50.12 | Professional | TC · Technical part | $16.60 | $21.88 | $50.12 |
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 $18.62 Median $20.42 Typical High $22.39 | Professional | 52 · Reduced service | $18.62 | $20.42 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.13 Typical High $9.12 | Professional | 53 · Discontinued | $7.41 | $8.13 | $9.12 |
Where California sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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· 21st of 51
$56.23
NE $105AR $25.12
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.