How much rates vary
Facilitymedian $145 · 10th to 90th $50 to $331Professionalmedian $135 · 10th to 90th $54 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 $81.28 Median $91.20 Typical High $91.20 | Facility | None | $81.28 | $91.20 | $91.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $177.83 Typical High $416.87 | Facility | TC · Technical part | $69.18 | $177.83 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $91.20 Typical High $102.33 | Professional | None (both parts) | $79.43 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $20.89 Typical High $21.88 | Professional | 26 · Professional part | $19.05 | $20.89 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $69.18 Typical High $79.43 | Professional | TC · Technical part | $60.26 | $69.18 | $79.43 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $102.33 | $102.33 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $398.11 Typical High $407.38 | Facility | None | $9.77 | $398.11 | $407.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $154.88 Typical High $457.09 | Professional | None (both parts) | $77.62 | $154.88 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $34.67 Typical High $87.10 | Professional | 26 · Professional part | $9.55 | $34.67 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $66.07 Typical High $338.84 | Professional | TC · Technical part | $25.12 | $66.07 | $338.84 |
Blue Shield Setting Facility Modifier None Typical Low $45.71 Median $199.53 Typical High $331.13 | Facility | None | $45.71 | $199.53 | $331.13 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $79.43 Median $112.20 Typical High $302.00 | Professional | None (both parts) | $79.43 | $112.20 | $302.00 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.18 Typical High $75.86 | Professional | 26 · Professional part | $19.95 | $28.18 | $75.86 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $85.11 Typical High $223.87 | Professional | TC · Technical part | $58.88 | $85.11 | $223.87 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $123.03 | Professional | None (both parts) | $89.13 | $89.13 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $114.82 Typical High $239.88 | Facility | None | $51.29 | $114.82 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $53.70 Typical High $194.98 | Professional | None (both parts) | $39.81 | $53.70 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.30 Typical High $48.98 | Professional | 26 · Professional part | $11.48 | $12.30 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $40.74 Typical High $158.49 | Professional | TC · Technical part | $28.18 | $40.74 | $158.49 |
Contra Costa Health Setting Professional Modifier None Typical Low $43.65 Median $120.23 Typical High $147.91 | Professional | None | $43.65 | $120.23 | $147.91 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $34.67 | Professional | 26 · Professional part | $21.38 | $23.44 | $34.67 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $97.72 Typical High $120.23 | Professional | TC · Technical part | $8.71 | $97.72 | $120.23 |
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 $19.05 Median $27.54 Typical High $60.26 | Professional | 26 · Professional part | $19.05 | $27.54 | $60.26 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $245.47 | Professional | TC · Technical part | $69.18 | $109.65 | $245.47 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $707.95 | Professional | None (both parts) | $630.96 | $630.96 | $707.95 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $177.83 | $177.83 | $177.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $501.19 Typical High $549.54 | Professional | TC · Technical part | $501.19 | $501.19 | $549.54 |
Providence Setting Facility Modifier None Typical Low $54.95 Median $117.49 Typical High $234.42 | Facility | None | $54.95 | $117.49 | $234.42 |
Providence Setting Professional Modifier None (both parts) Typical Low $39.81 Median $53.70 Typical High $263.03 | Professional | None (both parts) | $39.81 | $53.70 | $263.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.30 Typical High $66.07 | Professional | 26 · Professional part | $11.48 | $12.30 | $66.07 |
Providence Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $40.74 Typical High $181.97 | Professional | TC · Technical part | $28.18 | $40.74 | $181.97 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $89.13 Typical High $501.19 | Professional | None (both parts) | $52.48 | $89.13 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $20.89 Typical High $109.65 | Professional | 26 · Professional part | $13.18 | $20.89 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $70.79 Typical High $389.05 | Professional | TC · Technical part | $38.90 | $70.79 | $389.05 |
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 $45.71 Median $89.13 Typical High $208.93 | Facility | 52 · Reduced service | $45.71 | $89.13 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $35.48 Typical High $83.18 | Facility | 53 · Discontinued | $18.20 | $35.48 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $39.81 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $15.85 | $18.20 | $18.20 |
Where California sits
The same service costs 4.0 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· 11th of 51
$135
AK $234AL $58.88
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.