How much rates vary
Facilitymedian $380 · 10th to 90th $115 to $912Professionalmedian $138 · 10th to 90th $98 to $676
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 $107.15 Median $114.82 Typical High $2,238.72 | Facility | None | $107.15 | $114.82 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $199.53 Typical High $478.63 | Facility | TC · Technical part | $79.43 | $199.53 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $194.98 | Professional | None (both parts) | $97.72 | $117.49 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $46.77 | Professional | 26 · Professional part | $26.30 | $30.20 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $87.10 Typical High $147.91 | Professional | TC · Technical part | $72.44 | $87.10 | $147.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $102.33 Median $109.65 Typical High $134.90 | Professional | None (both parts) | $102.33 | $109.65 | $134.90 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $91.20 | $91.20 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $588.84 Typical High $602.56 | Facility | None | $44.67 | $588.84 | $602.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $169.82 Typical High $316.23 | Professional | None (both parts) | $104.71 | $169.82 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $44.67 Typical High $81.28 | Professional | 26 · Professional part | $28.84 | $44.67 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $125.89 Typical High $239.88 | Professional | TC · Technical part | $75.86 | $125.89 | $239.88 |
Blue Shield Setting Facility Modifier None Typical Low $147.91 Median $575.44 Typical High $1,023.29 | Facility | None | $147.91 | $575.44 | $1,023.29 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $81.28 Median $125.89 Typical High $186.21 | Professional | None (both parts) | $81.28 | $125.89 | $186.21 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $32.36 Typical High $47.86 | Professional | 26 · Professional part | $21.88 | $32.36 | $47.86 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $93.33 Typical High $138.04 | Professional | TC · Technical part | $58.88 | $93.33 | $138.04 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $125.89 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $275.42 Typical High $660.69 | Facility | None | $158.49 | $275.42 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $93.33 | $120.23 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $25.12 | $32.36 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $162.18 | Professional | TC · Technical part | $67.61 | $89.13 | $162.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $97.72 Median $165.96 Typical High $181.97 | Professional | None | $97.72 | $165.96 | $181.97 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $37.15 Typical High $40.74 | Professional | 26 · Professional part | $18.62 | $37.15 | $40.74 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $128.82 Typical High $141.25 | Professional | TC · Technical part | $79.43 | $128.82 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $288.40 | Professional | None | $117.49 | $141.25 | $288.40 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $40.74 Typical High $91.20 | Professional | 26 · Professional part | $29.51 | $40.74 | $91.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $138.04 Typical High $316.23 | Professional | TC · Technical part | $93.33 | $138.04 | $316.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $676.08 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $676.08 | $977.24 | $977.24 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $181.97 | $239.88 | $239.88 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $489.78 | $724.44 | $724.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $72.44 Typical High $117.49 | Professional | None (both parts) | $33.88 | $72.44 | $117.49 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $239.88 Typical High $602.56 | Facility | None | $141.25 | $239.88 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $93.33 | $120.23 | $213.80 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $47.86 | Professional | 26 · Professional part | $25.12 | $32.36 | $47.86 |
Providence Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $147.91 | Professional | TC · Technical part | $67.61 | $87.10 | $147.91 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $263.03 | $263.03 | $263.03 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $263.03 | Facility | None | $169.82 | $169.82 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $199.53 | Professional | None (both parts) | $87.10 | $109.65 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $23.44 | $30.20 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $79.43 Typical High $151.36 | Professional | TC · Technical part | $61.66 | $79.43 | $151.36 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $128.82 Median $128.82 Typical High $154.88 | Professional | 59 · Distinct service | $128.82 | $128.82 | $154.88 |
Where California sits
The same service costs 3.7 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· 17th of 51
$138
AK $309TX $83.18
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.