How much rates vary
Facilitymedian $224 · 10th to 90th $135 to $813Professionalmedian $282 · 10th to 90th $120 to $2,399
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 $204.17 Median $223.87 Typical High $741.31 | Facility | None | $204.17 | $223.87 | $741.31 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $354.81 Typical High $912.01 | Facility | TC · Technical part | $151.36 | $354.81 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $524.81 | Professional | None (both parts) | $204.17 | $239.88 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $77.62 Typical High $125.89 | Professional | 26 · Professional part | $69.18 | $77.62 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $162.18 Typical High $354.81 | Professional | TC · Technical part | $134.90 | $162.18 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $512.86 | Professional | None (both parts) | $138.04 | $138.04 | $512.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $41.69 Typical High $380.19 | Professional | 26 · Professional part | $39.81 | $41.69 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $1,445.44 Typical High $1,479.11 | Facility | None | $35.48 | $1,445.44 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $223.87 Typical High $1,318.26 | Professional | None (both parts) | $107.15 | $223.87 | $1,318.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $97.72 Typical High $338.84 | Professional | 26 · Professional part | $35.48 | $97.72 | $338.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $138.04 Typical High $933.25 | Professional | TC · Technical part | $72.44 | $138.04 | $933.25 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $588.84 Typical High $977.24 | Facility | None | $97.72 | $588.84 | $977.24 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $144.54 Median $208.93 Typical High $549.54 | Professional | None (both parts) | $144.54 | $208.93 | $549.54 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $190.55 | Professional | 26 · Professional part | $51.29 | $72.44 | $190.55 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $354.81 | Professional | TC · Technical part | $95.50 | $134.90 | $354.81 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $416.87 | Professional | None (both parts) | $302.00 | $302.00 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $354.81 Typical High $660.69 | Facility | None | $125.89 | $354.81 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $173.78 Typical High $602.56 | Professional | None (both parts) | $107.15 | $173.78 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $213.80 | Professional | 26 · Professional part | $40.74 | $46.77 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $123.03 Typical High $446.68 | Professional | TC · Technical part | $63.10 | $123.03 | $446.68 |
Contra Costa Health Setting Professional Modifier None Typical Low $87.10 Median $407.38 Typical High $501.19 | Professional | None | $87.10 | $407.38 | $501.19 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $100.00 Typical High $123.03 | Professional | 26 · Professional part | $70.79 | $100.00 | $123.03 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $309.03 Typical High $380.19 | Professional | TC · Technical part | $17.38 | $309.03 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $707.95 | Professional | None | $302.00 | $354.81 | $707.95 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $117.49 Typical High $251.19 | Professional | 26 · Professional part | $74.13 | $117.49 | $251.19 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $346.74 Typical High $794.33 | Professional | TC · Technical part | $218.78 | $346.74 | $794.33 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $2,398.83 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $2,398.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $630.96 | Professional | 26 · Professional part | $512.86 | $512.86 | $630.96 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,318.26 Typical High $1,778.28 | Professional | TC · Technical part | $1,318.26 | $1,318.26 | $1,778.28 |
Providence Setting Facility Modifier None Typical Low $134.90 Median $302.00 Typical High $616.60 | Facility | None | $134.90 | $302.00 | $616.60 |
Providence Setting Professional Modifier None (both parts) Typical Low $107.15 Median $173.78 Typical High $831.76 | Professional | None (both parts) | $107.15 | $173.78 | $831.76 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $245.47 | Professional | 26 · Professional part | $41.69 | $46.77 | $245.47 |
Providence Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $128.82 Typical High $512.86 | Professional | TC · Technical part | $63.10 | $128.82 | $512.86 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,047.13 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $239.88 Typical High $1,412.54 | Professional | None (both parts) | $128.82 | $239.88 | $1,412.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $83.18 Typical High $416.87 | Professional | 26 · Professional part | $47.86 | $83.18 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $162.18 Typical High $1,000.00 | Professional | TC · Technical part | $79.43 | $162.18 | $1,000.00 |
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 $112.20 Median $194.98 Typical High $457.09 | Facility | 52 · Reduced service | $112.20 | $194.98 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $44.67 Median $77.62 Typical High $181.97 | Facility | 53 · Discontinued | $44.67 | $77.62 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $102.33 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $40.74 | $44.67 | $44.67 |
Where California sits
The same service costs 4.2 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· 26th of 51
$282
AK $575AL $138
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.