How much rates vary
Facilitymedian $2,818 · 10th to 90th $363 to $9,120Professionalmedian $288 · 10th to 90th $214 to $2,884
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 $1,380.38 Median $5,370.32 Typical High $15,848.93 | Facility | None | $1,380.38 | $5,370.32 | $15,848.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $269.15 Typical High $724.44 | Professional | None (both parts) | $234.42 | $269.15 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $85.11 Typical High $131.83 | Professional | 26 · Professional part | $77.62 | $85.11 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $177.83 Typical High $478.63 | Professional | TC · Technical part | $154.88 | $177.83 | $478.63 |
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 $204.17 Median $223.87 Typical High $954.99 | Professional | None (both parts) | $204.17 | $223.87 | $954.99 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $83.18 Typical High $229.09 | Professional | 26 · Professional part | $79.43 | $83.18 | $229.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $147.91 Typical High $691.83 | Professional | TC · Technical part | $44.67 | $147.91 | $691.83 |
Blue Shield Setting Facility Modifier None Typical Low $69.18 Median $2,818.38 Typical High $6,309.57 | Facility | None | $69.18 | $2,818.38 | $6,309.57 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $177.83 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $177.83 | $251.19 | $380.19 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $125.89 | Professional | 26 · Professional part | $60.26 | $85.11 | $125.89 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $257.04 | Professional | TC · Technical part | $117.49 | $165.96 | $257.04 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $426.58 Typical High $588.84 | Professional | None (both parts) | $89.13 | $426.58 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $295.12 Typical High $776.25 | Professional | None (both parts) | $239.88 | $295.12 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $89.13 Typical High $194.98 | Professional | 26 · Professional part | $77.62 | $89.13 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $630.96 | Professional | TC · Technical part | $165.96 | $199.53 | $630.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $63.10 Median $524.81 Typical High $575.44 | Professional | None | $63.10 | $524.81 | $575.44 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $100.00 Typical High $109.65 | Professional | 26 · Professional part | $25.12 | $100.00 | $109.65 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $416.87 Typical High $467.74 | Professional | TC · Technical part | $38.02 | $416.87 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $831.76 | Professional | None | $398.11 | $467.74 | $831.76 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $213.80 | Professional | 26 · Professional part | $85.11 | $100.00 | $213.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $407.38 Typical High $812.83 | Professional | TC · Technical part | $323.59 | $407.38 | $812.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $2,884.03 | $3,467.37 | $3,467.37 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $831.76 Typical High $831.76 | Professional | 26 · Professional part | $630.96 | $831.76 | $831.76 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,344.23 Median $2,630.27 Typical High $2,630.27 | Professional | TC · Technical part | $2,344.23 | $2,630.27 | $2,630.27 |
Molina Setting Professional Modifier None (both parts) Typical Low $134.90 Median $467.74 Typical High $602.56 | Professional | None (both parts) | $134.90 | $467.74 | $602.56 |
Optum Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None (both parts) | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $302.00 Median $2,290.87 Typical High $6,606.93 | Facility | None | $302.00 | $2,290.87 | $6,606.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $794.33 | Professional | None (both parts) | $239.88 | $281.84 | $794.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $87.10 Typical High $169.82 | Professional | 26 · Professional part | $77.62 | $87.10 | $169.82 |
Providence Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $186.21 Typical High $524.81 | Professional | TC · Technical part | $165.96 | $186.21 | $524.81 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $1,258.93 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $288.40 | $288.40 | $288.40 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $954.99 | $954.99 | $954.99 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $3,981.07 | Facility | None | $575.44 | $575.44 | $3,981.07 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $380.19 Typical High $812.83 | Professional | None (both parts) | $245.47 | $380.19 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $93.33 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $288.40 Typical High $645.65 | Professional | TC · Technical part | $162.18 | $288.40 | $645.65 |
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 $109.65 Median $125.89 Typical High $229.09 | Professional | 52 · Reduced service | $109.65 | $125.89 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $51.29 Typical High $93.33 | Professional | 53 · Discontinued | $43.65 | $51.29 | $93.33 |
Where California sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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· 46th of 51
$295
AK $1,413KY $219
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.