How much rates vary
Facilitymedian $115 · 10th to 90th $36 to $437Professionalmedian $85 · 10th to 90th $32 to $537
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 $54.95 Median $57.54 Typical High $58.88 | Facility | None | $54.95 | $57.54 | $58.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.90 Median $97.72 Typical High $234.42 | Facility | TC · Technical part | $38.90 | $97.72 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $57.54 Typical High $58.88 | Professional | None (both parts) | $53.70 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part | $18.20 | $19.05 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.90 Typical High $40.74 | Professional | TC · Technical part | $35.48 | $38.90 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $234.42 Typical High $239.88 | Facility | None | $11.75 | $234.42 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $89.13 Typical High $316.23 | Professional | None (both parts) | $32.36 | $89.13 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $30.20 Typical High $104.71 | Professional | 26 · Professional part | $11.48 | $30.20 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $74.13 Typical High $213.80 | Professional | TC · Technical part | $20.42 | $74.13 | $213.80 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $338.84 Typical High $524.81 | Facility | None | $95.50 | $338.84 | $524.81 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $47.86 Median $67.61 Typical High $177.83 | Professional | None (both parts) | $47.86 | $67.61 | $177.83 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $4.57 Median $6.61 Typical High $8.91 | Professional | 26 · Professional part | $4.57 | $6.61 | $8.91 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $61.66 Typical High $79.43 | Professional | TC · Technical part | $42.66 | $61.66 | $79.43 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $93.33 | Professional | None (both parts) | $67.61 | $67.61 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $74.13 Typical High $147.91 | Facility | None | $32.36 | $74.13 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.90 Typical High $144.54 | Professional | None (both parts) | $32.36 | $38.90 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.18 Typical High $48.98 | Professional | 26 · Professional part | $10.96 | $13.18 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.30 Typical High $102.33 | Professional | TC · Technical part | $21.38 | $26.30 | $102.33 |
Contra Costa Health Setting Professional Modifier None Typical Low $53.70 Median $91.20 Typical High $112.20 | Professional | None | $53.70 | $91.20 | $112.20 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $30.20 Typical High $37.15 | Professional | 26 · Professional part | $17.78 | $30.20 | $37.15 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $61.66 Typical High $75.86 | Professional | TC · Technical part | $36.31 | $61.66 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $158.49 | Professional | None | $66.07 | $79.43 | $158.49 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $35.48 Typical High $77.62 | Professional | 26 · Professional part | $24.55 | $35.48 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $69.18 Typical High $154.88 | Professional | TC · Technical part | $43.65 | $69.18 | $154.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $436.52 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $436.52 | $537.03 | $537.03 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $158.49 | $190.55 | $190.55 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $281.84 | $346.74 | $346.74 |
Providence Setting Facility Modifier None Typical Low $36.31 Median $75.86 Typical High $144.54 | Facility | None | $36.31 | $75.86 | $144.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $32.36 Median $42.66 Typical High $194.98 | Professional | None (both parts) | $32.36 | $42.66 | $194.98 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $75.86 | Professional | 26 · Professional part | $10.96 | $12.88 | $75.86 |
Providence Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.30 Typical High $144.54 | Professional | TC · Technical part | $21.38 | $26.30 | $144.54 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $66.07 Typical High $380.19 | Professional | None (both parts) | $38.02 | $66.07 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $24.55 Typical High $131.83 | Professional | 26 · Professional part | $13.18 | $24.55 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $42.66 Typical High $245.47 | Professional | TC · Technical part | $25.12 | $42.66 | $245.47 |
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 $28.18 Median $48.98 Typical High $117.49 | Facility | 52 · Reduced service | $28.18 | $48.98 | $117.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.22 Median $19.50 Typical High $47.86 | Facility | 53 · Discontinued | $11.22 | $19.50 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $28.84 Typical High $29.51 | Professional | 52 · Reduced service | $26.92 | $28.84 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.48 Typical High $11.75 | Professional | 53 · Discontinued | $10.72 | $11.48 | $11.75 |
Where California sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 13th of 51
$89.13
AK $182TX $41.69
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.