How much rates vary
Facilitymedian $269 · 10th to 90th $87 to $661Professionalmedian $331 · 10th to 90th $110 to $1,905
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 $251.19 Median $269.15 Typical High $275.42 | Facility | None | $251.19 | $269.15 | $275.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $398.11 Typical High $933.25 | Facility | TC · Technical part | $158.49 | $398.11 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $199.53 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $102.33 | $117.49 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $158.49 Typical High $162.18 | Professional | TC · Technical part | $97.72 | $158.49 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $245.47 Typical High $251.19 | Facility | None | $52.48 | $245.47 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $302.00 Typical High $1,096.48 | Professional | None (both parts) | $109.65 | $302.00 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $181.97 Typical High $588.84 | Professional | 26 · Professional part | $51.29 | $181.97 | $588.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $141.25 Typical High $537.03 | Professional | TC · Technical part | $58.88 | $141.25 | $537.03 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $436.52 Typical High $776.25 | Facility | None | $95.50 | $436.52 | $776.25 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $851.14 | Professional | None (both parts) | $229.09 | $323.59 | $851.14 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $190.55 Typical High $501.19 | Professional | 26 · Professional part | $131.83 | $190.55 | $501.19 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $354.81 | Professional | TC · Technical part | $93.33 | $134.90 | $354.81 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $234.42 | $234.42 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $199.53 Typical High $380.19 | Facility | None | $87.10 | $199.53 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $162.18 Typical High $512.86 | Professional | None (both parts) | $107.15 | $162.18 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $281.84 | Professional | 26 · Professional part | $63.10 | $75.86 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $81.28 Typical High $275.42 | Professional | TC · Technical part | $44.67 | $81.28 | $275.42 |
Contra Costa Health Setting Professional Modifier None Typical Low $181.97 Median $316.23 Typical High $380.19 | Professional | None | $181.97 | $316.23 | $380.19 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $141.25 Typical High $173.78 | Professional | 26 · Professional part | $128.82 | $141.25 | $173.78 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $169.82 Typical High $208.93 | Professional | TC · Technical part | $36.31 | $169.82 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $275.42 Typical High $549.54 | Professional | None | $229.09 | $275.42 | $549.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $169.82 Typical High $363.08 | Professional | 26 · Professional part | $114.82 | $169.82 | $363.08 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $190.55 Typical High $436.52 | Professional | TC · Technical part | $120.23 | $190.55 | $436.52 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $1,905.46 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $1,905.46 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $891.25 Median $891.25 Typical High $912.01 | Professional | 26 · Professional part | $891.25 | $891.25 | $912.01 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $977.24 | Professional | TC · Technical part | $812.83 | $812.83 | $977.24 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $263.03 Typical High $416.87 | Facility | None | $107.15 | $263.03 | $416.87 |
Providence Setting Professional Modifier None (both parts) Typical Low $109.65 Median $162.18 Typical High $691.83 | Professional | None (both parts) | $109.65 | $162.18 | $691.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $363.08 | Professional | 26 · Professional part | $63.10 | $75.86 | $363.08 |
Providence Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $81.28 Typical High $295.12 | Professional | TC · Technical part | $44.67 | $81.28 | $295.12 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $891.25 | $891.25 | $891.25 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $131.83 | Facility | None | $85.11 | $85.11 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $239.88 Typical High $1,174.90 | Professional | None (both parts) | $144.54 | $239.88 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $125.89 Typical High $630.96 | Professional | 26 · Professional part | $75.86 | $125.89 | $630.96 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $107.15 Typical High $549.54 | Professional | TC · Technical part | $64.57 | $107.15 | $549.54 |
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 $125.89 Median $199.53 Typical High $467.74 | Facility | 52 · Reduced service | $125.89 | $199.53 | $467.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $50.12 Median $79.43 Typical High $186.21 | Facility | 53 · Discontinued | $50.12 | $79.43 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $112.20 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $44.67 | $54.95 | $54.95 |
Where California sits
The same service costs 6.5 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· 8th of 51
$331
AK $617AL $95.50
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.