How much rates vary
Facilitymedian $692 · 10th to 90th $191 to $1,660Professionalmedian $398 · 10th to 90th $166 to $3,311
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 $263.03 | Facility | None | $190.55 | $208.93 | $263.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $354.81 Typical High $891.25 | Facility | TC · Technical part | $147.91 | $354.81 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $218.78 Typical High $724.44 | Professional | None (both parts) | $194.98 | $218.78 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $56.23 | $60.26 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $630.96 | Professional | TC · Technical part | $138.04 | $158.49 | $630.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $338.84 | Professional | 26 · Professional part | $77.62 | $77.62 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $741.31 Typical High $758.58 | Facility | None | $27.54 | $741.31 | $758.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $354.81 Typical High $1,819.70 | Professional | None (both parts) | $165.96 | $354.81 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $95.50 Typical High $275.42 | Professional | 26 · Professional part | $26.92 | $95.50 | $275.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $257.04 Typical High $1,548.82 | Professional | TC · Technical part | $141.25 | $257.04 | $1,548.82 |
Blue Shield Setting Facility Modifier None Typical Low $251.19 Median $1,096.48 Typical High $1,949.84 | Facility | None | $251.19 | $1,096.48 | $1,949.84 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $169.82 Median $245.47 Typical High $660.69 | Professional | None (both parts) | $169.82 | $245.47 | $660.69 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $186.21 | Professional | 26 · Professional part | $48.98 | $70.79 | $186.21 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $173.78 Typical High $467.74 | Professional | TC · Technical part | $120.23 | $173.78 | $467.74 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $588.84 | Professional | None (both parts) | $426.58 | $426.58 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $588.84 Typical High $1,096.48 | Facility | None | $223.87 | $588.84 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $204.17 Typical High $812.83 | Professional | None (both parts) | $114.82 | $204.17 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $141.25 | Professional | 26 · Professional part | $33.11 | $36.31 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $158.49 Typical High $691.83 | Professional | TC · Technical part | $79.43 | $158.49 | $691.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $190.55 Median $575.44 Typical High $707.95 | Professional | None | $190.55 | $575.44 | $707.95 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $95.50 | Professional | 26 · Professional part | $56.23 | $77.62 | $95.50 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $501.19 Typical High $616.60 | Professional | TC · Technical part | $134.90 | $501.19 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $489.78 Typical High $977.24 | Professional | None | $407.38 | $489.78 | $977.24 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $93.33 Typical High $199.53 | Professional | 26 · Professional part | $63.10 | $93.33 | $199.53 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $562.34 Typical High $1,288.25 | Professional | TC · Technical part | $354.81 | $562.34 | $1,288.25 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $2,570.40 | $3,311.31 | $3,311.31 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $512.86 | $512.86 | $512.86 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,187.76 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $2,187.76 | $2,818.38 | $2,818.38 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $436.52 Typical High $1,047.13 | Facility | None | $218.78 | $436.52 | $1,047.13 |
Providence Setting Professional Modifier None (both parts) Typical Low $114.82 Median $218.78 Typical High $1,148.15 | Professional | None (both parts) | $114.82 | $218.78 | $1,148.15 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $186.21 | Professional | 26 · Professional part | $33.11 | $36.31 | $186.21 |
Providence Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $151.36 Typical High $707.95 | Professional | TC · Technical part | $79.43 | $151.36 | $707.95 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,548.82 |
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 $134.90 Median $331.13 Typical High $2,089.30 | Professional | None (both parts) | $134.90 | $331.13 | $2,089.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $61.66 Typical High $316.23 | Professional | 26 · Professional part | $39.81 | $61.66 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $275.42 Typical High $1,778.28 | Professional | TC · Technical part | $93.33 | $275.42 | $1,778.28 |
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 $102.33 Median $186.21 Typical High $446.68 | Facility | 52 · Reduced service | $102.33 | $186.21 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $40.74 Median $74.13 Typical High $177.83 | Facility | 53 · Discontinued | $40.74 | $74.13 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $102.33 Typical High $104.71 | Professional | 52 · Reduced service | $97.72 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $40.74 Typical High $41.69 | Professional | 53 · Discontinued | $38.90 | $40.74 | $41.69 |
Where California sits
The same service costs 9.1 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· 20th of 51
$417
AK $891AL $97.72
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.