How much rates vary
Facilitymedian $832 · 10th to 90th $120 to $6,607Professionalmedian $182 · 10th to 90th $129 to $1,318
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 $134.90 Median $169.82 Typical High $302.00 | Professional | None (both parts) | $134.90 | $169.82 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $45.71 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $45.71 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $213.80 | Professional | TC · Technical part | $93.33 | $120.23 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $165.96 Median $177.83 Typical High $186.21 | Professional | None (both parts) | $165.96 | $177.83 | $186.21 |
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 $120.23 Median $158.49 Typical High $630.96 | Professional | None (both parts) | $120.23 | $158.49 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $169.82 | Professional | 26 · Professional part | $42.66 | $48.98 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $104.71 Typical High $501.19 | Professional | TC · Technical part | $75.86 | $104.71 | $501.19 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $416.87 Typical High $1,513.56 | Facility | None | $95.50 | $416.87 | $1,513.56 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $426.58 | Professional | None (both parts) | $123.03 | $173.78 | $426.58 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $114.82 | Professional | 26 · Professional part | $35.48 | $50.12 | $114.82 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $125.89 Typical High $309.03 | Professional | TC · Technical part | $87.10 | $125.89 | $309.03 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $125.89 Typical High $234.42 | Professional | None (both parts) | $74.13 | $125.89 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $1,202.26 Typical High $2,691.53 | Facility | None | $50.12 | $1,202.26 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $208.93 Typical High $501.19 | Professional | None (both parts) | $114.82 | $208.93 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $120.23 | Professional | 26 · Professional part | $38.90 | $53.70 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $162.18 Typical High $389.05 | Professional | TC · Technical part | $75.86 | $162.18 | $389.05 |
Contra Costa Health Setting Professional Modifier None Typical Low $58.88 Median $208.93 Typical High $251.19 | Professional | None | $58.88 | $208.93 | $251.19 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $44.67 Typical High $53.70 | Professional | 26 · Professional part | $23.44 | $44.67 | $53.70 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $162.18 Typical High $194.98 | Professional | TC · Technical part | $35.48 | $162.18 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $467.74 | Professional | None | $165.96 | $213.80 | $467.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $125.89 | Professional | 26 · Professional part | $40.74 | $58.88 | $125.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $194.98 Typical High $457.09 | Professional | TC · Technical part | $141.25 | $194.98 | $457.09 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $1,584.89 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $691.83 Median $912.01 Typical High $912.01 | Professional | 26 · Professional part | $691.83 | $912.01 | $912.01 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | TC · Technical part | $1,148.15 | $1,148.15 | $1,148.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $199.53 Typical High $257.04 | Professional | None (both parts) | $56.23 | $199.53 | $257.04 |
Providence Setting Facility Modifier None Typical Low $50.12 Median $218.78 Typical High $2,691.53 | Facility | None | $50.12 | $218.78 | $2,691.53 |
Providence Setting Professional Modifier None (both parts) Typical Low $114.82 Median $208.93 Typical High $512.86 | Professional | None (both parts) | $114.82 | $208.93 | $512.86 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $51.29 Typical High $120.23 | Professional | 26 · Professional part | $37.15 | $51.29 | $120.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $162.18 Typical High $363.08 | Professional | TC · Technical part | $75.86 | $162.18 | $363.08 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $131.83 | $131.83 | $131.83 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $416.87 | $416.87 | $416.87 |
United Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $3,090.30 | Facility | None | $123.03 | $537.03 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $204.17 Typical High $501.19 | Professional | None (both parts) | $125.89 | $204.17 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $48.98 Typical High $123.03 | Professional | 26 · Professional part | $31.62 | $48.98 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $147.91 Typical High $389.05 | Professional | TC · Technical part | $93.33 | $147.91 | $389.05 |
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 $70.79 Median $75.86 Typical High $85.11 | Professional | 52 · Reduced service | $70.79 | $75.86 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.20 Typical High $33.88 | Professional | 53 · Discontinued | $28.18 | $30.20 | $33.88 |
Where California sits
The same service costs 5.6 times more in Alaska 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· 32nd of 51
$204
AK $759TX $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.