How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 26 · Professional part Typical Low $100.00 Median $173.78 Typical High $263.03 | Facility | 26 · Professional part | $100.00 | $173.78 | $263.03 |
Aetna Setting Professional Modifier Global Typical Low $169.82 Median $478.63 Typical High $1,318.26 | Professional | Global | $169.82 | $478.63 | $1,318.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $141.25 Typical High $389.05 | Professional | 26 · Professional part | $66.07 | $141.25 | $389.05 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 50 · Both sides | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $239.88 Typical High $660.69 | Professional | 52 · Reduced service | $112.20 | $239.88 | $660.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $338.84 Typical High $676.08 | Professional | TC · Technical part | $165.96 | $338.84 | $676.08 |
Ambetter Setting Professional Modifier Global Typical Low $138.04 Median $208.93 Typical High $407.38 | Professional | Global | $138.04 | $208.93 | $407.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $102.33 Typical High $151.36 | Professional | 26 · Professional part | $48.98 | $102.33 | $151.36 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $436.52 Median $436.52 Typical High $446.68 | Professional | 50 · Both sides | $436.52 | $436.52 | $446.68 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $109.65 Typical High $323.59 | Professional | TC · Technical part | $93.33 | $109.65 | $323.59 |
Anthem BCBS Setting Professional Modifier Global Typical Low $354.81 Median $602.56 Typical High $954.99 | Professional | Global | $354.81 | $602.56 | $954.99 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $93.33 Typical High $186.21 | Professional | 26 · Professional part | $64.57 | $93.33 | $186.21 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $302.00 Median $380.19 Typical High $870.96 | Professional | 50 · Both sides | $302.00 | $380.19 | $870.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $512.86 Typical High $794.33 | Professional | TC · Technical part | $251.19 | $512.86 | $794.33 |
Blue Shield Setting Professional Modifier Global Typical Low $100.00 Median $100.00 Typical High $602.56 | Professional | Global | $100.00 | $100.00 | $602.56 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $100.00 Typical High $162.18 | Professional | 26 · Professional part | $77.62 | $100.00 | $162.18 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $446.68 | Professional | TC · Technical part | $100.00 | $100.00 | $446.68 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | 26 · Professional part | $54.95 | $54.95 | $54.95 |
Cigna Setting Professional Modifier Global Typical Low $177.83 Median $398.11 Typical High $794.33 | Professional | Global | $177.83 | $398.11 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $81.28 Typical High $158.49 | Professional | 26 · Professional part | $44.67 | $81.28 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $302.00 Typical High $676.08 | Professional | TC · Technical part | $131.83 | $302.00 | $676.08 |
Contra Costa Health Setting Professional Modifier Global Typical Low $194.98 Median $269.15 Typical High $363.08 | Professional | Global | $194.98 | $269.15 | $363.08 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $72.44 | $97.72 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $199.53 Typical High $269.15 | Professional | TC · Technical part | $144.54 | $199.53 | $269.15 |
Kaiser Permanente Setting Professional Modifier Global Typical Low $204.17 Median $275.42 Typical High $524.81 | Professional | Global | $204.17 | $275.42 | $524.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $87.10 Typical High $162.18 | Professional | 26 · Professional part | $64.57 | $87.10 | $162.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $165.96 | $229.09 | $389.05 |
Lucent Health Setting Facility Modifier 26 · Professional part Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | 26 · Professional part | $407.38 | $407.38 | $407.38 |
Lucent Health Setting Professional Modifier Global Typical Low $416.87 Median $2,884.03 Typical High $2,884.03 | Professional | Global | $416.87 | $2,884.03 | $2,884.03 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $537.03 | $537.03 | $537.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | TC · Technical part | $2,511.89 | $2,511.89 | $2,511.89 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $75.86 Typical High $239.88 | Professional | Global | $32.36 | $75.86 | $239.88 |
Providence Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | 26 · Professional part | $54.95 | $54.95 | $54.95 |
Providence Setting Professional Modifier Global Typical Low $194.98 Median $407.38 Typical High $758.58 | Professional | Global | $194.98 | $407.38 | $758.58 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $75.86 Typical High $147.91 | Professional | 26 · Professional part | $39.81 | $75.86 | $147.91 |
Providence Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $309.03 Typical High $660.69 | Professional | TC · Technical part | $128.82 | $309.03 | $660.69 |
Sutter Health Plus Setting Professional Modifier Global Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | Global | $758.58 | $758.58 | $758.58 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $218.78 | $218.78 | $218.78 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $537.03 | $537.03 | $537.03 |
The Alliance Setting Professional Modifier Global Typical Low $223.87 Median $302.00 Typical High $954.99 | Professional | Global | $223.87 | $302.00 | $954.99 |
United Setting Professional Modifier Global Typical Low $199.53 Median $354.81 Typical High $933.25 | Professional | Global | $199.53 | $354.81 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $269.15 | Professional | 26 · Professional part | $52.48 | $77.62 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $245.47 Typical High $691.83 | Professional | TC · Technical part | $138.04 | $245.47 | $691.83 |
Where California sits
The same service costs 4.2 times more in Wisconsin than in West Virginia. 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· 6th of 51
$479
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.