How much rates vary
Facilitymedian $550 · 10th to 90th $355 to $3,090Professionalmedian $692 · 10th to 90th $257 to $4,169
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 $616.60 Median $691.83 Typical High $707.95 | Facility | None | $616.60 | $691.83 | $707.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $630.96 Median $1,584.89 Typical High $3,801.89 | Facility | TC · Technical part | $630.96 | $1,584.89 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $691.83 Typical High $831.76 | Professional | None (both parts) | $602.56 | $691.83 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $67.61 Typical High $117.49 | Professional | 26 · Professional part | $61.66 | $67.61 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $630.96 Typical High $724.44 | Professional | TC · Technical part | $512.86 | $630.96 | $724.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $138.04 | $371.54 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $3,235.94 Typical High $3,311.31 | Facility | None | $32.36 | $3,235.94 | $3,311.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $407.38 Typical High $1,995.26 | Professional | None (both parts) | $281.84 | $407.38 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $109.65 Typical High $323.59 | Professional | 26 · Professional part | $31.62 | $109.65 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $251.19 Typical High $1,584.89 | Professional | TC · Technical part | $91.20 | $251.19 | $1,584.89 |
Blue Shield Setting Facility Modifier None Typical Low $275.42 Median $2,187.76 Typical High $3,715.35 | Facility | None | $275.42 | $2,187.76 | $3,715.35 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $446.68 Median $630.96 Typical High $1,698.24 | Professional | None (both parts) | $446.68 | $630.96 | $1,698.24 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $67.61 Typical High $177.83 | Professional | 26 · Professional part | $46.77 | $67.61 | $177.83 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $562.34 Typical High $1,513.56 | Professional | TC · Technical part | $398.11 | $562.34 | $1,513.56 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None (both parts) | $537.03 | $537.03 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $707.95 Typical High $1,288.25 | Facility | None | $309.03 | $707.95 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $1,023.29 | Professional | None (both parts) | $186.21 | $281.84 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $181.97 | Professional | 26 · Professional part | $38.02 | $41.69 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $239.88 Typical High $977.24 | Professional | TC · Technical part | $144.54 | $239.88 | $977.24 |
Contra Costa Health Setting Professional Modifier None Typical Low $239.88 Median $724.44 Typical High $891.25 | Professional | None | $239.88 | $724.44 | $891.25 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $93.33 Typical High $190.55 | Professional | 26 · Professional part | $85.11 | $93.33 | $190.55 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $630.96 Typical High $776.25 | Professional | TC · Technical part | $47.86 | $630.96 | $776.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $616.60 Typical High $1,230.27 | Professional | None | $501.19 | $616.60 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $109.65 Typical High $239.88 | Professional | 26 · Professional part | $69.18 | $109.65 | $239.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $707.95 Typical High $1,584.89 | Professional | TC · Technical part | $446.68 | $707.95 | $1,584.89 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,311.31 Median $3,311.31 Typical High $4,168.69 | Professional | None (both parts) | $3,311.31 | $3,311.31 | $4,168.69 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $676.08 | $676.08 | $676.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,951.21 Median $2,951.21 Typical High $3,548.13 | Professional | TC · Technical part | $2,951.21 | $2,951.21 | $3,548.13 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $724.44 Typical High $1,174.90 | Facility | None | $346.74 | $724.44 | $1,174.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $1,412.54 | Professional | None (both parts) | $186.21 | $281.84 | $1,412.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $223.87 | Professional | 26 · Professional part | $38.02 | $41.69 | $223.87 |
Providence Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $239.88 Typical High $1,096.48 | Professional | TC · Technical part | $144.54 | $239.88 | $1,096.48 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $1,479.11 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $398.11 Typical High $1,995.26 | Professional | None (both parts) | $234.42 | $398.11 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $75.86 Typical High $380.19 | Professional | 26 · Professional part | $44.67 | $75.86 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $331.13 Typical High $1,621.81 | Professional | TC · Technical part | $190.55 | $331.13 | $1,621.81 |
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 $346.74 Median $794.33 Typical High $1,862.09 | Facility | 52 · Reduced service | $346.74 | $794.33 | $1,862.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $138.04 Median $323.59 Typical High $758.58 | Facility | 53 · Discontinued | $138.04 | $323.59 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $346.74 Typical High $354.81 | Professional | 52 · Reduced service | $251.19 | $346.74 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $138.04 Typical High $141.25 | Professional | 53 · Discontinued | $102.33 | $138.04 | $141.25 |
Where California sits
The same service costs 11.5 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· 12th of 51
$692
AK $1,778AL $155
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.