How much rates vary
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 TC · Technical part Typical Low $87.10 Median $181.97 Typical High $549.54 | Facility | TC · Technical part | $87.10 | $181.97 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None (both parts) | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $100.00 | Professional | TC · Technical part | $83.18 | $87.10 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $309.03 Typical High $426.58 | Professional | None (both parts) | $229.09 | $309.03 | $426.58 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $199.53 Typical High $275.42 | Professional | TC · Technical part | $87.10 | $199.53 | $275.42 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $177.83 Typical High $316.23 | Facility | None | $97.72 | $177.83 | $316.23 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $34.67 Median $48.98 Typical High $66.07 | Professional | None (both parts) | $34.67 | $48.98 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $269.15 Typical High $467.74 | Facility | None | $158.49 | $269.15 | $467.74 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $67.61 | $67.61 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $630.96 Typical High $831.76 | Professional | None | $257.04 | $630.96 | $831.76 |
Providence Setting Facility Modifier None Typical Low $125.89 Median $234.42 Typical High $457.09 | Facility | None | $125.89 | $234.42 | $457.09 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $218.78 | Facility | None | $144.54 | $144.54 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $112.20 Typical High $229.09 | Professional | None (both parts) | $85.11 | $112.20 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $85.11 Typical High $169.82 | Professional | TC · Technical part | $63.10 | $85.11 | $169.82 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $363.08 | Professional | 26 · Professional part | $74.13 | $91.20 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.84 Typical High $57.54 | Professional | 26 · Professional part | $20.89 | $28.84 | $57.54 |
Where California sits
The same service costs 61.7 times more in Delaware than in California. 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· 51st of 51
$48.98
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.