How much rates vary
Facilitymedian $79 · 10th to 90th $12 to $363Professionalmedian $91 · 10th to 90th $35 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 $70.79 Median $79.43 Typical High $316.23 | Facility | None | $70.79 | $79.43 | $316.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $158.49 Typical High $407.38 | Facility | TC · Technical part | $69.18 | $158.49 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $85.11 Typical High $154.88 | Professional | None (both parts) | $70.79 | $85.11 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.75 Typical High $18.62 | Professional | 26 · Professional part | $10.00 | $11.75 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $134.90 | Professional | TC · Technical part | $60.26 | $72.44 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $47.86 | Professional | None (both parts) | $46.77 | $46.77 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.88 Typical High $64.57 | Professional | 26 · Professional part | $10.72 | $12.88 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.13 Median $165.96 Typical High $173.78 | Facility | None | $5.13 | $165.96 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $70.79 Typical High $363.08 | Professional | None (both parts) | $28.84 | $70.79 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $15.49 Typical High $50.12 | Professional | 26 · Professional part | $5.01 | $15.49 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $52.48 Typical High $302.00 | Professional | TC · Technical part | $23.99 | $52.48 | $302.00 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $257.04 Typical High $467.74 | Facility | None | $48.98 | $257.04 | $467.74 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $51.29 Median $72.44 Typical High $194.98 | Professional | None (both parts) | $51.29 | $72.44 | $194.98 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.47 Typical High $28.18 | Professional | 26 · Professional part | $7.41 | $10.47 | $28.18 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $63.10 Typical High $165.96 | Professional | TC · Technical part | $43.65 | $63.10 | $165.96 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $125.89 | Professional | None (both parts) | $91.20 | $91.20 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $125.89 Typical High $234.42 | Facility | None | $47.86 | $125.89 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $41.69 Typical High $158.49 | Professional | None (both parts) | $35.48 | $41.69 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.76 Typical High $26.92 | Professional | 26 · Professional part | $6.17 | $6.76 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $151.36 | Professional | TC · Technical part | $29.51 | $35.48 | $151.36 |
Contra Costa Health Setting Professional Modifier None Typical Low $33.88 Median $123.03 Typical High $151.36 | Professional | None | $33.88 | $123.03 | $151.36 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $27.54 | Professional | 26 · Professional part | $13.18 | $14.45 | $27.54 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $107.15 Typical High $131.83 | Professional | TC · Technical part | $6.92 | $107.15 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $208.93 | Professional | None | $87.10 | $104.71 | $208.93 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $16.98 Typical High $37.15 | Professional | 26 · Professional part | $10.72 | $16.98 | $37.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $120.23 Typical High $275.42 | Professional | TC · Technical part | $75.86 | $120.23 | $275.42 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $707.95 | Professional | None (both parts) | $512.86 | $512.86 | $707.95 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $602.56 | Professional | TC · Technical part | $436.52 | $436.52 | $602.56 |
Providence Setting Facility Modifier None Typical Low $51.29 Median $100.00 Typical High $213.80 | Facility | None | $51.29 | $100.00 | $213.80 |
Providence Setting Professional Modifier None (both parts) Typical Low $35.48 Median $43.65 Typical High $239.88 | Professional | None (both parts) | $35.48 | $43.65 | $239.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.76 Typical High $35.48 | Professional | 26 · Professional part | $6.17 | $6.76 | $35.48 |
Providence Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $165.96 | Professional | TC · Technical part | $29.51 | $35.48 | $165.96 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $77.62 Typical High $398.11 | Professional | None (both parts) | $41.69 | $77.62 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $12.02 Typical High $60.26 | Professional | 26 · Professional part | $6.92 | $12.02 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $64.57 Typical High $331.13 | Professional | TC · Technical part | $34.67 | $64.57 | $331.13 |
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 $39.81 Median $87.10 Typical High $204.17 | Facility | 52 · Reduced service | $39.81 | $87.10 | $204.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $34.67 Typical High $81.28 | Facility | 53 · Discontinued | $15.85 | $34.67 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $34.67 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.85 Typical High $16.22 | Professional | 53 · Discontinued | $13.80 | $15.85 | $16.22 |
Where California sits
The same service costs 6.0 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
$89.13
AK $209AL $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.