How much rates vary
Facilitymedian $68 · 10th to 90th $48 to $123Professionalmedian $69 · 10th to 90th $49 to $537
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 $51.29 Median $52.48 Typical High $54.95 | Facility | None | $51.29 | $52.48 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $51.29 Typical High $57.54 | Professional | None (both parts) | $46.77 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $29.51 Typical High $33.88 | Professional | 26 · Professional part | $28.18 | $29.51 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.88 Typical High $23.99 | Professional | TC · Technical part | $19.50 | $21.88 | $23.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $63.10 Typical High $112.20 | Professional | None (both parts) | $61.66 | $63.10 | $112.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $63.10 | Professional | 26 · Professional part | $34.67 | $36.31 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $27.54 Typical High $47.86 | Professional | TC · Technical part | $26.30 | $27.54 | $47.86 |
Blue Shield Setting Facility Modifier None Typical Low $53.70 Median $83.18 Typical High $141.25 | Facility | None | $53.70 | $83.18 | $141.25 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $48.98 Median $69.18 Typical High $117.49 | Professional | None (both parts) | $48.98 | $69.18 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $47.86 Typical High $141.25 | Facility | None | $43.65 | $47.86 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $109.65 | Professional | None (both parts) | $87.10 | $87.10 | $109.65 |
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 $537.03 Median $537.03 Typical High $630.96 | Professional | None (both parts) | $537.03 | $537.03 | $630.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $323.59 Typical High $371.54 | Professional | 26 · Professional part | $323.59 | $323.59 | $371.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $269.15 | Professional | TC · Technical part | $213.80 | $213.80 | $269.15 |
Providence Setting Facility Modifier None Typical Low $51.29 Median $75.86 Typical High $107.15 | Facility | None | $51.29 | $75.86 | $107.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $79.43 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $79.43 | $83.18 | $83.18 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $93.33 | Facility | None | $61.66 | $61.66 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $63.10 Typical High $194.98 | Professional | None (both parts) | $41.69 | $63.10 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $37.15 Typical High $114.82 | Professional | 26 · Professional part | $25.12 | $37.15 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $25.70 Typical High $83.18 | Professional | TC · Technical part | $16.98 | $25.70 | $83.18 |
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 $23.44 Median $25.70 Typical High $28.84 | Professional | 52 · Reduced service | $23.44 | $25.70 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.23 Typical High $11.75 | Professional | 53 · Discontinued | $9.33 | $10.23 | $11.75 |
Where California sits
The same service costs 14.8 times more in Texas 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· 29th of 51
$69.18
TX $537AR $36.31
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.