How much rates vary
Facilitymedian $105 · 10th to 90th $26 to $417Professionalmedian $112 · 10th to 90th $40 to $708
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 $95.50 Median $107.15 Typical High $354.81 | Facility | None | $95.50 | $107.15 | $354.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $190.55 Typical High $501.19 | Facility | TC · Technical part | $83.18 | $190.55 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $95.50 | $114.82 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $40.74 | Professional | 26 · Professional part | $22.91 | $26.30 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $165.96 | Professional | TC · Technical part | $74.13 | $87.10 | $165.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $58.88 Median $63.10 Typical High $120.23 | Professional | None (both parts) | $58.88 | $63.10 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $23.44 Typical High $125.89 | Professional | 26 · Professional part | $12.88 | $23.44 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $245.47 Typical High $251.19 | Facility | None | $11.48 | $245.47 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.18 Median $39.81 Typical High $407.38 | Professional | None (both parts) | $28.18 | $39.81 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $30.20 Typical High $112.20 | Professional | 26 · Professional part | $11.22 | $30.20 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $6.76 Median $114.82 Typical High $416.87 | Professional | TC · Technical part | $6.76 | $114.82 | $416.87 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $288.40 Typical High $524.81 | Facility | None | $48.98 | $288.40 | $524.81 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $69.18 Median $100.00 Typical High $263.03 | Professional | None (both parts) | $69.18 | $100.00 | $263.03 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $23.99 Typical High $63.10 | Professional | 26 · Professional part | $16.60 | $23.99 | $63.10 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $75.86 Typical High $199.53 | Professional | TC · Technical part | $52.48 | $75.86 | $199.53 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $165.96 | Professional | None (both parts) | $120.23 | $120.23 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $151.36 Typical High $275.42 | Facility | None | $58.88 | $151.36 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $57.54 Typical High $218.78 | Professional | None (both parts) | $48.98 | $57.54 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.14 Typical High $60.26 | Professional | 26 · Professional part | $13.80 | $15.14 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $43.65 Typical High $186.21 | Professional | TC · Technical part | $33.88 | $43.65 | $186.21 |
Contra Costa Health Setting Professional Modifier None Typical Low $33.11 Median $162.18 Typical High $199.53 | Professional | None | $33.11 | $162.18 | $199.53 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $39.81 | Professional | 26 · Professional part | $26.30 | $32.36 | $39.81 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $6.61 Median $131.83 Typical High $158.49 | Professional | TC · Technical part | $6.61 | $131.83 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $275.42 | Professional | None | $117.49 | $138.04 | $275.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.02 Typical High $83.18 | Professional | 26 · Professional part | $25.70 | $38.02 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $144.54 Typical High $331.13 | Professional | TC · Technical part | $91.20 | $144.54 | $331.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $954.99 | Professional | None (both parts) | $707.95 | $707.95 | $954.99 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $204.17 | Professional | 26 · Professional part | $162.18 | $162.18 | $204.17 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $741.31 | Professional | TC · Technical part | $549.54 | $549.54 | $741.31 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $134.90 Typical High $263.03 | Facility | None | $61.66 | $134.90 | $263.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $48.98 Median $60.26 Typical High $331.13 | Professional | None (both parts) | $48.98 | $60.26 | $331.13 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.14 Typical High $77.62 | Professional | 26 · Professional part | $13.80 | $15.14 | $77.62 |
Providence Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $43.65 Typical High $199.53 | Professional | TC · Technical part | $33.88 | $43.65 | $199.53 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $107.15 Typical High $537.03 | Professional | None (both parts) | $56.23 | $107.15 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $26.92 Typical High $131.83 | Professional | 26 · Professional part | $15.49 | $26.92 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $79.43 Typical High $407.38 | Professional | TC · Technical part | $42.66 | $79.43 | $407.38 |
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 $53.70 Median $107.15 Typical High $251.19 | Facility | 52 · Reduced service | $53.70 | $107.15 | $251.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $42.66 Typical High $100.00 | Facility | 53 · Discontinued | $21.38 | $42.66 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $46.77 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.38 Typical High $21.88 | Professional | 53 · Discontinued | $19.05 | $21.38 | $21.88 |
Where California sits
The same service costs 5.5 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· 23rd of 51
$112
AK $269AL $48.98
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.