How much rates vary
Facilitymedian $295 · 10th to 90th $91 to $741Professionalmedian $166 · 10th to 90th $71 to $1,148
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 $147.91 Median $165.96 Typical High $208.93 | Facility | None | $147.91 | $165.96 | $208.93 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $269.15 Typical High $676.08 | Facility | TC · Technical part | $112.20 | $269.15 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $165.96 Typical High $316.23 | Professional | None (both parts) | $144.54 | $165.96 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $70.79 | Professional | 26 · Professional part | $46.77 | $52.48 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $114.82 Typical High $251.19 | Professional | TC · Technical part | $100.00 | $114.82 | $251.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $186.21 | $186.21 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $741.31 Typical High $758.58 | Facility | None | $22.91 | $741.31 | $758.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $74.13 Typical High $691.83 | Professional | None (both parts) | $54.95 | $74.13 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $60.26 Typical High $186.21 | Professional | 26 · Professional part | $22.39 | $60.26 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $131.83 Typical High $660.69 | Professional | TC · Technical part | $19.50 | $131.83 | $660.69 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $501.19 Typical High $851.14 | Facility | None | $97.72 | $501.19 | $851.14 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $416.87 | Professional | None (both parts) | $109.65 | $154.88 | $416.87 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $141.25 | Professional | 26 · Professional part | $37.15 | $52.48 | $141.25 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $281.84 | Professional | TC · Technical part | $70.79 | $102.33 | $281.84 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $186.21 Typical High $208.93 | Professional | None (both parts) | $89.13 | $186.21 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $229.09 Typical High $467.74 | Facility | None | $91.20 | $229.09 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $95.50 Typical High $416.87 | Professional | None (both parts) | $72.44 | $95.50 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $123.03 | Professional | 26 · Professional part | $23.44 | $30.90 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $69.18 Typical High $288.40 | Professional | TC · Technical part | $41.69 | $69.18 | $288.40 |
Contra Costa Health Setting Professional Modifier None Typical Low $87.10 Median $251.19 Typical High $309.03 | Professional | None | $87.10 | $251.19 | $309.03 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $52.48 Typical High $64.57 | Professional | 26 · Professional part | $18.20 | $52.48 | $64.57 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $199.53 Typical High $245.47 | Professional | TC · Technical part | $69.18 | $199.53 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $457.09 | Professional | None | $177.83 | $213.80 | $457.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $131.83 | Professional | 26 · Professional part | $40.74 | $58.88 | $131.83 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $218.78 Typical High $501.19 | Professional | TC · Technical part | $141.25 | $218.78 | $501.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,445.44 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,445.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $331.13 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,122.02 | Professional | TC · Technical part | $870.96 | $870.96 | $1,122.02 |
Molina Setting Professional Modifier None (both parts) Typical Low $48.98 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $48.98 | $151.36 | $199.53 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $213.80 Typical High $426.58 | Facility | None | $93.33 | $213.80 | $426.58 |
Providence Setting Professional Modifier None (both parts) Typical Low $72.44 Median $97.72 Typical High $512.86 | Professional | None (both parts) | $72.44 | $97.72 | $512.86 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $154.88 | Professional | 26 · Professional part | $23.44 | $30.20 | $154.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $70.79 Typical High $398.11 | Professional | TC · Technical part | $41.69 | $70.79 | $398.11 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $691.83 | $691.83 | $691.83 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $165.96 | $165.96 | $165.96 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | TC · Technical part | $524.81 | $524.81 | $524.81 |
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 $95.50 Median $158.49 Typical High $831.76 | Professional | None (both parts) | $95.50 | $158.49 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $190.55 | Professional | 26 · Professional part | $27.54 | $41.69 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $107.15 Typical High $645.65 | Professional | TC · Technical part | $60.26 | $107.15 | $645.65 |
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 $81.28 Median $141.25 Typical High $338.84 | Facility | 52 · Reduced service | $81.28 | $141.25 | $338.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $57.54 Typical High $134.90 | Facility | 53 · Discontinued | $33.11 | $57.54 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $72.44 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $28.84 | $33.11 | $33.11 |
Where California sits
The same service costs 4.9 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· 23rd of 51
$174
AK $468AL $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.