How much rates vary
Facilitymedian $224 · 10th to 90th $65 to $562Professionalmedian $141 · 10th to 90th $52 to $1,175
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 $91.20 Median $100.00 Typical High $102.33 | Facility | None | $91.20 | $100.00 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $158.49 Typical High $380.19 | Facility | TC · Technical part | $63.10 | $158.49 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $100.00 Typical High $257.04 | Professional | None (both parts) | $89.13 | $100.00 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $54.95 | Professional | 26 · Professional part | $35.48 | $38.02 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $204.17 | Professional | TC · Technical part | $53.70 | $63.10 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $75.86 | Professional | 26 · Professional part | $42.66 | $42.66 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $1,445.44 Typical High $1,479.11 | Facility | None | $16.98 | $1,445.44 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $104.71 Typical High $537.03 | Professional | None (both parts) | $41.69 | $104.71 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $51.29 Typical High $173.78 | Professional | 26 · Professional part | $16.60 | $51.29 | $173.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $32.36 Typical High $371.54 | Professional | TC · Technical part | $22.91 | $32.36 | $371.54 |
Blue Shield Setting Facility Modifier None Typical Low $74.13 Median $323.59 Typical High $562.34 | Facility | None | $74.13 | $323.59 | $562.34 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $75.86 Median $109.65 Typical High $288.40 | Professional | None (both parts) | $75.86 | $109.65 | $288.40 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $144.54 | Professional | 26 · Professional part | $38.02 | $53.70 | $144.54 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $54.95 Typical High $147.91 | Professional | TC · Technical part | $38.90 | $54.95 | $147.91 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $208.93 | Professional | None (both parts) | $151.36 | $151.36 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $181.97 Typical High $380.19 | Facility | None | $53.70 | $181.97 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $61.66 Typical High $275.42 | Professional | None (both parts) | $52.48 | $61.66 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.44 Typical High $97.72 | Professional | 26 · Professional part | $19.50 | $23.44 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.90 Typical High $213.80 | Professional | TC · Technical part | $29.51 | $38.90 | $213.80 |
Contra Costa Health Setting Professional Modifier None Typical Low $56.23 Median $204.17 Typical High $251.19 | Professional | None | $56.23 | $204.17 | $251.19 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $42.66 Typical High $52.48 | Professional | 26 · Professional part | $38.90 | $42.66 | $52.48 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $158.49 Typical High $194.98 | Professional | TC · Technical part | $11.22 | $158.49 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $346.74 | Professional | None | $147.91 | $173.78 | $346.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $50.12 Typical High $109.65 | Professional | 26 · Professional part | $32.36 | $50.12 | $109.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $177.83 Typical High $407.38 | Professional | TC · Technical part | $112.20 | $177.83 | $407.38 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $1,174.90 | Professional | None (both parts) | $977.24 | $977.24 | $1,174.90 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $251.19 Typical High $275.42 | Professional | 26 · Professional part | $251.19 | $251.19 | $275.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $758.58 Typical High $912.01 | Professional | TC · Technical part | $758.58 | $758.58 | $912.01 |
Providence Setting Facility Modifier None Typical Low $77.62 Median $144.54 Typical High $354.81 | Facility | None | $77.62 | $144.54 | $354.81 |
Providence Setting Professional Modifier None (both parts) Typical Low $52.48 Median $67.61 Typical High $407.38 | Professional | None (both parts) | $52.48 | $67.61 | $407.38 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.44 Typical High $104.71 | Professional | 26 · Professional part | $20.42 | $23.44 | $104.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.90 Typical High $208.93 | Professional | TC · Technical part | $29.51 | $38.90 | $208.93 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $426.58 | Facility | None | $281.84 | $281.84 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $114.82 Typical High $645.65 | Professional | None (both parts) | $60.26 | $114.82 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $36.31 Typical High $177.83 | Professional | 26 · Professional part | $22.39 | $36.31 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $81.28 Typical High $467.74 | Professional | TC · Technical part | $34.67 | $81.28 | $467.74 |
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 $79.43 Typical High $186.21 | Facility | 52 · Reduced service | $45.71 | $79.43 | $186.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $32.36 Typical High $75.86 | Facility | 53 · Discontinued | $18.20 | $32.36 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $44.67 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $17.78 | $19.95 | $19.95 |
Where California sits
The same service costs 5.2 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· 20th of 51
$148
AK $309AL $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.