How much rates vary
Facilitymedian $692 · 10th to 90th $151 to $6,166Professionalmedian $263 · 10th to 90th $191 to $1,698
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 $1,258.93 Median $5,370.32 Typical High $15,488.17 | Facility | None | $1,258.93 | $5,370.32 | $15,488.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $251.19 Typical High $457.09 | Professional | None (both parts) | $218.78 | $251.19 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $85.11 Typical High $120.23 | Professional | 26 · Professional part | $77.62 | $85.11 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $165.96 Typical High $245.47 | Professional | TC · Technical part | $141.25 | $165.96 | $245.47 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $10,000.00 | Facility | None | $2,137.96 | $4,786.30 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $234.42 Typical High $891.25 | Professional | None (both parts) | $177.83 | $234.42 | $891.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $89.13 Typical High $302.00 | Professional | 26 · Professional part | $77.62 | $89.13 | $302.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $588.84 | Professional | TC · Technical part | $112.20 | $144.54 | $588.84 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $691.83 Typical High $4,570.88 | Facility | None | $100.00 | $691.83 | $4,570.88 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $190.55 Median $269.15 Typical High $645.65 | Professional | None (both parts) | $190.55 | $269.15 | $645.65 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $208.93 | Professional | 26 · Professional part | $64.57 | $91.20 | $208.93 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $177.83 Typical High $426.58 | Professional | TC · Technical part | $125.89 | $177.83 | $426.58 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $91.20 Typical High $288.40 | Professional | None (both parts) | $53.70 | $91.20 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $758.58 | Facility | None | $162.18 | $263.03 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $630.96 | Professional | None (both parts) | $190.55 | $275.42 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $208.93 | Professional | 26 · Professional part | $72.44 | $85.11 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $190.55 Typical High $416.87 | Professional | TC · Technical part | $114.82 | $190.55 | $416.87 |
Contra Costa Health Setting Professional Modifier None Typical Low $42.66 Median $257.04 Typical High $309.03 | Professional | None | $42.66 | $257.04 | $309.03 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $85.11 Typical High $102.33 | Professional | 26 · Professional part | $18.20 | $85.11 | $102.33 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $169.82 Typical High $204.17 | Professional | TC · Technical part | $23.99 | $169.82 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $575.44 | Professional | None | $213.80 | $269.15 | $575.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $112.20 Typical High $239.88 | Professional | 26 · Professional part | $77.62 | $112.20 | $239.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $208.93 Typical High $478.63 | Professional | TC · Technical part | $147.91 | $208.93 | $478.63 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $1,698.24 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $588.84 Typical High $645.65 | Professional | 26 · Professional part | $588.84 | $588.84 | $645.65 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | TC · Technical part | $1,122.02 | $1,122.02 | $1,122.02 |
Molina Setting Professional Modifier None (both parts) Typical Low $109.65 Median $204.17 Typical High $316.23 | Professional | None (both parts) | $109.65 | $204.17 | $316.23 |
Providence Setting Facility Modifier None Typical Low $169.82 Median $338.84 Typical High $2,754.23 | Facility | None | $169.82 | $338.84 | $2,754.23 |
Providence Setting Professional Modifier None (both parts) Typical Low $181.97 Median $269.15 Typical High $645.65 | Professional | None (both parts) | $181.97 | $269.15 | $645.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $81.28 Typical High $208.93 | Professional | 26 · Professional part | $72.44 | $81.28 | $208.93 |
Providence Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $181.97 Typical High $407.38 | Professional | TC · Technical part | $114.82 | $181.97 | $407.38 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $707.95 | $707.95 | $707.95 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $245.47 | $245.47 | $245.47 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $467.74 | $467.74 | $467.74 |
United Setting Facility Modifier None Typical Low $123.03 Median $489.78 Typical High $3,090.30 | Facility | None | $123.03 | $489.78 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $251.19 Typical High $660.69 | Professional | None (both parts) | $162.18 | $251.19 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $87.10 Typical High $234.42 | Professional | 26 · Professional part | $58.88 | $87.10 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $165.96 Typical High $426.58 | Professional | TC · Technical part | $104.71 | $165.96 | $426.58 |
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 $107.15 Median $117.49 Typical High $131.83 | Professional | 52 · Reduced service | $107.15 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $46.77 Typical High $52.48 | Professional | 53 · Discontinued | $43.65 | $46.77 | $52.48 |
Where California sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 23rd of 51
$288
WI $708UT $135
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.