How much rates vary
Facilitymedian $200 · 10th to 90th $56 to $741Professionalmedian $282 · 10th to 90th $78 to $2,239
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 $190.55 Median $208.93 Typical High $208.93 | Facility | None | $190.55 | $208.93 | $208.93 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $346.74 Typical High $812.83 | Facility | TC · Technical part | $134.90 | $346.74 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $134.90 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $70.79 | $75.86 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $134.90 Typical High $138.04 | Professional | TC · Technical part | $69.18 | $134.90 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $34.67 Median $741.31 Typical High $758.58 | Facility | None | $34.67 | $741.31 | $758.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $204.17 Typical High $645.65 | Professional | None (both parts) | $77.62 | $204.17 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $114.82 Typical High $371.54 | Professional | 26 · Professional part | $33.88 | $114.82 | $371.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $102.33 Typical High $275.42 | Professional | TC · Technical part | $44.67 | $102.33 | $275.42 |
Blue Shield Setting Facility Modifier None Typical Low $77.62 Median $489.78 Typical High $870.96 | Facility | None | $77.62 | $489.78 | $870.96 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $331.13 Median $478.63 Typical High $1,258.93 | Professional | None (both parts) | $331.13 | $478.63 | $1,258.93 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $117.49 Typical High $309.03 | Professional | 26 · Professional part | $81.28 | $117.49 | $309.03 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $363.08 Typical High $954.99 | Professional | TC · Technical part | $251.19 | $363.08 | $954.99 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $199.53 | Professional | None (both parts) | $144.54 | $144.54 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $114.82 Typical High $194.98 | Facility | None | $44.67 | $114.82 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $141.25 Typical High $489.78 | Professional | None (both parts) | $77.62 | $141.25 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $47.86 Typical High $177.83 | Professional | 26 · Professional part | $43.65 | $47.86 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $66.07 Typical High $275.42 | Professional | TC · Technical part | $32.36 | $66.07 | $275.42 |
Contra Costa Health Setting Professional Modifier None Typical Low $117.49 Median $194.98 Typical High $239.88 | Professional | None | $117.49 | $194.98 | $239.88 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $100.00 Typical High $123.03 | Professional | 26 · Professional part | $91.20 | $100.00 | $123.03 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $95.50 Typical High $117.49 | Professional | TC · Technical part | $23.44 | $95.50 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $354.81 | Professional | None | $141.25 | $173.78 | $354.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $117.49 Typical High $257.04 | Professional | 26 · Professional part | $75.86 | $117.49 | $257.04 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $107.15 Typical High $239.88 | Professional | TC · Technical part | $67.61 | $107.15 | $239.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None (both parts) | $2,238.72 | $2,238.72 | $2,238.72 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 26 · Professional part | $831.76 | $831.76 | $831.76 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | TC · Technical part | $1,737.80 | $1,737.80 | $1,737.80 |
Providence Setting Facility Modifier None Typical Low $56.23 Median $141.25 Typical High $302.00 | Facility | None | $56.23 | $141.25 | $302.00 |
Providence Setting Professional Modifier None (both parts) Typical Low $79.43 Median $154.88 Typical High $489.78 | Professional | None (both parts) | $79.43 | $154.88 | $489.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $47.86 Typical High $239.88 | Professional | 26 · Professional part | $43.65 | $47.86 | $239.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $66.07 Typical High $302.00 | Professional | TC · Technical part | $32.36 | $66.07 | $302.00 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $512.86 | $512.86 | $512.86 |
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 $83.18 Median $154.88 Typical High $691.83 | Professional | None (both parts) | $83.18 | $154.88 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $85.11 Typical High $407.38 | Professional | 26 · Professional part | $51.29 | $85.11 | $407.38 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $74.13 Typical High $281.84 | Professional | TC · Technical part | $32.36 | $74.13 | $281.84 |
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 $97.72 Median $169.82 Typical High $407.38 | Facility | 52 · Reduced service | $97.72 | $169.82 | $407.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $69.18 Typical High $162.18 | Facility | 53 · Discontinued | $39.81 | $69.18 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $74.13 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $29.51 | $42.66 | $42.66 |
Where California sits
The same service costs 7.6 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· 3rd of 51
$275
AK $457AL $60.26
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.