How much rates vary
Facilitymedian $224 · 10th to 90th $62 to $513Professionalmedian $126 · 10th to 90th $54 to $1,349
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 $93.33 Median $102.33 Typical High $102.33 | Facility | None | $93.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $70.79 Median $181.97 Typical High $426.58 | Facility | TC · Technical part | $70.79 | $181.97 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $102.33 Typical High $114.82 | Professional | None (both parts) | $93.33 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $34.67 | Professional | 26 · Professional part | $29.51 | $31.62 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $70.79 Typical High $85.11 | Professional | TC · Technical part | $63.10 | $70.79 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $245.47 Typical High $251.19 | Facility | None | $16.60 | $245.47 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $102.33 Typical High $660.69 | Professional | None (both parts) | $53.70 | $102.33 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $48.98 Typical High $158.49 | Professional | 26 · Professional part | $16.22 | $48.98 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $52.48 Typical High $478.63 | Professional | TC · Technical part | $37.15 | $52.48 | $478.63 |
Blue Shield Setting Facility Modifier None Typical Low $69.18 Median $331.13 Typical High $602.56 | Facility | None | $69.18 | $331.13 | $602.56 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $87.10 Median $123.03 Typical High $331.13 | Professional | None (both parts) | $87.10 | $123.03 | $331.13 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $128.82 | Professional | 26 · Professional part | $33.88 | $48.98 | $128.82 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $75.86 Typical High $204.17 | Professional | TC · Technical part | $52.48 | $75.86 | $204.17 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $162.18 | $162.18 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $204.17 Typical High $371.54 | Facility | None | $61.66 | $204.17 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $67.61 Typical High $295.12 | Professional | None (both parts) | $56.23 | $67.61 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $20.42 Typical High $79.43 | Professional | 26 · Professional part | $18.62 | $20.42 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $46.77 Typical High $234.42 | Professional | TC · Technical part | $38.02 | $46.77 | $234.42 |
Contra Costa Health Setting Professional Modifier None Typical Low $87.10 Median $218.78 Typical High $269.15 | Professional | None | $87.10 | $218.78 | $269.15 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $70.79 | Professional | 26 · Professional part | $41.69 | $45.71 | $70.79 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $173.78 Typical High $213.80 | Professional | TC · Technical part | $17.78 | $173.78 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $190.55 Typical High $380.19 | Professional | None | $158.49 | $190.55 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $53.70 Typical High $114.82 | Professional | 26 · Professional part | $33.88 | $53.70 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $194.98 Typical High $446.68 | Professional | TC · Technical part | $123.03 | $194.98 | $446.68 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,348.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $288.40 | Professional | 26 · Professional part | $269.15 | $269.15 | $288.40 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,096.48 |
Providence Setting Facility Modifier None Typical Low $72.44 Median $154.88 Typical High $338.84 | Facility | None | $72.44 | $154.88 | $338.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $57.54 Median $74.13 Typical High $446.68 | Professional | None (both parts) | $57.54 | $74.13 | $446.68 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $20.42 Typical High $112.20 | Professional | 26 · Professional part | $18.62 | $20.42 | $112.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $46.77 Typical High $257.04 | Professional | TC · Technical part | $38.02 | $46.77 | $257.04 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $524.81 | $524.81 | $524.81 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $131.83 | Facility | None | $85.11 | $85.11 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $125.89 Typical High $707.95 | Professional | None (both parts) | $61.66 | $125.89 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $38.02 Typical High $194.98 | Professional | 26 · Professional part | $21.38 | $38.02 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $85.11 Typical High $512.86 | Professional | TC · Technical part | $40.74 | $85.11 | $512.86 |
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 $51.29 Median $91.20 Typical High $213.80 | Facility | 52 · Reduced service | $51.29 | $91.20 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.42 Median $36.31 Typical High $85.11 | Facility | 53 · Discontinued | $20.42 | $36.31 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $45.71 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $18.20 | $20.42 | $20.42 |
Where California sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 29th of 51
$135
AK $331AL $57.54
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.