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 Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $2,511.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $309.03 Typical High $954.99 | Professional | None (both parts) | $64.57 | $309.03 | $954.99 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $316.23 | Professional | 26 · Professional part | $74.13 | $87.10 | $316.23 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $977.24 Typical High $2,041.74 | Facility | None | $67.61 | $977.24 | $2,041.74 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $81.28 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $81.28 | $114.82 | $169.82 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $338.84 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $4,365.16 | Facility | None | $1,318.26 | $1,862.09 | $4,365.16 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $346.74 Typical High $602.56 | Professional | None | $288.40 | $346.74 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
Providence Setting Facility Modifier None Typical Low $309.03 Median $512.86 Typical High $1,995.26 | Facility | None | $309.03 | $512.86 | $1,995.26 |
Providence Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $354.81 | Professional | None (both parts) | $331.13 | $331.13 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $691.83 Typical High $1,778.28 | Professional | None (both parts) | $363.08 | $691.83 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $691.83 Typical High $1,778.28 | Professional | 26 · Professional part | $363.08 | $691.83 | $1,778.28 |
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 TC · Technical part Typical Low $186.21 Median $234.42 Typical High $275.42 | Professional | TC · Technical part | $186.21 | $234.42 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $2.63 Median $2.95 Typical High $3.47 | Professional | TC · Technical part | $2.63 | $2.95 | $3.47 |
Where California sits
The same service costs 112.2 times more in Washington, DC than in Texas. 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· 34th of 49
$115
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.