How much rates vary
Facilitymedian $347 · 10th to 90th $87 to $1,000Professionalmedian $186 · 10th to 90th $71 to $1,479
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 $107.15 Median $114.82 Typical High $144.54 | Facility | None | $107.15 | $114.82 | $144.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $181.97 Typical High $467.74 | Facility | TC · Technical part | $75.86 | $181.97 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $114.82 Typical High $331.13 | Professional | None (both parts) | $107.15 | $114.82 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $58.88 | Professional | 26 · Professional part | $34.67 | $37.15 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $269.15 | Professional | TC · Technical part | $69.18 | $79.43 | $269.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $1,445.44 Typical High $1,479.11 | Facility | None | $16.60 | $1,445.44 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $186.21 Typical High $794.33 | Professional | None (both parts) | $70.79 | $186.21 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $58.88 Typical High $169.82 | Professional | 26 · Professional part | $16.60 | $58.88 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $131.83 Typical High $630.96 | Professional | TC · Technical part | $54.95 | $131.83 | $630.96 |
Blue Shield Setting Facility Modifier None Typical Low $147.91 Median $676.08 Typical High $1,023.29 | Facility | None | $147.91 | $676.08 | $1,023.29 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $354.81 | Professional | None (both parts) | $93.33 | $131.83 | $354.81 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $50.12 | Professional | 26 · Professional part | $30.20 | $43.65 | $50.12 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $89.13 Typical High $102.33 | Professional | TC · Technical part | $63.10 | $89.13 | $102.33 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $263.03 | Professional | None (both parts) | $194.98 | $194.98 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $245.47 Typical High $446.68 | Facility | None | $87.10 | $245.47 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $91.20 Typical High $346.74 | Professional | None (both parts) | $63.10 | $91.20 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $87.10 | Professional | 26 · Professional part | $20.42 | $22.39 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $67.61 Typical High $275.42 | Professional | TC · Technical part | $41.69 | $67.61 | $275.42 |
Contra Costa Health Setting Professional Modifier None Typical Low $104.71 Median $257.04 Typical High $316.23 | Professional | None | $104.71 | $257.04 | $316.23 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $34.67 | $46.77 | $57.54 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $213.80 Typical High $263.03 | Professional | TC · Technical part | $70.79 | $213.80 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $446.68 | Professional | None | $186.21 | $218.78 | $446.68 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $54.95 Typical High $120.23 | Professional | 26 · Professional part | $34.67 | $54.95 | $120.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $239.88 Typical High $537.03 | Professional | TC · Technical part | $151.36 | $239.88 | $537.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,071.52 | $1,479.11 | $1,479.11 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $234.42 | $295.12 | $295.12 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $851.14 | $1,202.26 | $1,202.26 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $186.21 Typical High $416.87 | Facility | None | $100.00 | $186.21 | $416.87 |
Providence Setting Professional Modifier None (both parts) Typical Low $63.10 Median $93.33 Typical High $501.19 | Professional | None (both parts) | $63.10 | $93.33 | $501.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $114.82 | Professional | 26 · Professional part | $20.42 | $22.39 | $114.82 |
Providence Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $67.61 Typical High $316.23 | Professional | TC · Technical part | $41.69 | $67.61 | $316.23 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
United Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $912.01 | Facility | None | $588.84 | $588.84 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $154.88 Typical High $891.25 | Professional | None (both parts) | $74.13 | $154.88 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $37.15 Typical High $190.55 | Professional | 26 · Professional part | $23.99 | $37.15 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $114.82 Typical High $707.95 | Professional | TC · Technical part | $48.98 | $114.82 | $707.95 |
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 $54.95 Median $95.50 Typical High $234.42 | Facility | 52 · Reduced service | $54.95 | $95.50 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $38.90 Typical High $93.33 | Facility | 53 · Discontinued | $21.88 | $38.90 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $56.23 Typical High $57.54 | Professional | 52 · Reduced service | $52.48 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.39 Typical High $22.91 | Professional | 53 · Discontinued | $21.38 | $22.39 | $22.91 |
Where California sits
The same service costs 7.1 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· 19th of 51
$200
AK $417AL $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.