How much rates vary
Facilitymedian $62 · 10th to 90th $19 to $209Professionalmedian $60 · 10th to 90th $28 to $479
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 $47.86 Median $48.98 Typical High $91.20 | Facility | None | $47.86 | $48.98 | $91.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $50.12 Typical High $128.82 | Facility | TC · Technical part | $21.38 | $50.12 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $50.12 Typical High $95.50 | Professional | None (both parts) | $44.67 | $50.12 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $54.95 | Professional | 26 · Professional part | $26.30 | $29.51 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $40.74 | Professional | TC · Technical part | $18.62 | $21.88 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.84 Median $30.20 Typical High $48.98 | Professional | None (both parts) | $28.84 | $30.20 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.51 Median $741.31 Typical High $758.58 | Facility | None | $8.51 | $741.31 | $758.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.44 Median $58.88 Typical High $245.47 | Professional | None (both parts) | $23.44 | $58.88 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $45.71 Typical High $147.91 | Professional | 26 · Professional part | $15.14 | $45.71 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $20.89 Typical High $100.00 | Professional | TC · Technical part | $8.32 | $20.89 | $100.00 |
Blue Shield Setting Facility Modifier None Typical Low $40.74 Median $120.23 Typical High $213.80 | Facility | None | $40.74 | $120.23 | $213.80 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $41.69 Median $60.26 Typical High $158.49 | Professional | None (both parts) | $41.69 | $60.26 | $158.49 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $100.00 | Professional | 26 · Professional part | $26.92 | $38.02 | $100.00 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $21.88 Typical High $57.54 | Professional | TC · Technical part | $15.14 | $21.88 | $57.54 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $77.62 | Professional | None (both parts) | $56.23 | $56.23 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $37.15 Typical High $70.79 | Facility | None | $15.85 | $37.15 | $70.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $31.62 Typical High $120.23 | Professional | None (both parts) | $27.54 | $31.62 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.95 Typical High $79.43 | Professional | 26 · Professional part | $16.22 | $19.95 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $11.75 Typical High $46.77 | Professional | TC · Technical part | $10.47 | $11.75 | $46.77 |
Contra Costa Health Setting Professional Modifier None Typical Low $28.18 Median $75.86 Typical High $93.33 | Professional | None | $28.18 | $75.86 | $93.33 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $43.65 Typical High $52.48 | Professional | 26 · Professional part | $22.39 | $43.65 | $52.48 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $5.62 Median $32.36 Typical High $39.81 | Professional | TC · Technical part | $5.62 | $32.36 | $39.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $131.83 | Professional | None | $54.95 | $66.07 | $131.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $50.12 Typical High $109.65 | Professional | 26 · Professional part | $31.62 | $50.12 | $109.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $36.31 Typical High $81.28 | Professional | TC · Technical part | $22.91 | $36.31 | $81.28 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $346.74 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $346.74 | $346.74 | $346.74 |
Providence Setting Facility Modifier None Typical Low $19.05 Median $48.98 Typical High $97.72 | Facility | None | $19.05 | $48.98 | $97.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $28.18 Median $32.36 Typical High $162.18 | Professional | None (both parts) | $28.18 | $32.36 | $162.18 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.95 Typical High $107.15 | Professional | 26 · Professional part | $16.22 | $19.95 | $107.15 |
Providence Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $11.75 Typical High $60.26 | Professional | TC · Technical part | $10.47 | $11.75 | $60.26 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $426.58 | Facility | None | $281.84 | $281.84 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $53.70 Typical High $281.84 | Professional | None (both parts) | $31.62 | $53.70 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $33.88 Typical High $177.83 | Professional | 26 · Professional part | $18.20 | $33.88 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $19.50 Typical High $100.00 | Professional | TC · Technical part | $11.75 | $19.50 | $100.00 |
4 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 Facility Modifier 52 · Reduced service Typical Low $19.05 Median $26.92 Typical High $63.10 | Facility | 52 · Reduced service | $19.05 | $26.92 | $63.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.59 Median $10.96 Typical High $25.70 | Facility | 53 · Discontinued | $7.59 | $10.96 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $21.88 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $8.71 | $9.77 | $9.77 |
Where California sits
The same service costs 3.2 times more in Wisconsin than in Nevada. 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· 22nd of 51
$60.26
WI $112NV $34.67
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.