How much rates vary
Facilitymedian $186 · 10th to 90th $39 to $407Professionalmedian $47 · 10th to 90th $32 to $195
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 $35.48 Median $41.69 Typical High $81.28 | Facility | None | $35.48 | $41.69 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.90 Typical High $61.66 | Professional | None (both parts) | $35.48 | $38.90 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.14 Typical High $20.42 | Professional | 26 · Professional part | $12.02 | $15.14 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.30 Typical High $42.66 | Professional | TC · Technical part | $21.38 | $26.30 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $61.66 | Professional | None (both parts) | $33.11 | $33.11 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $25.70 Typical High $28.18 | Facility | None | $23.99 | $25.70 | $28.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $64.57 Typical High $154.88 | Professional | None (both parts) | $33.11 | $64.57 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $24.55 Typical High $53.70 | Professional | 26 · Professional part | $12.88 | $24.55 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $42.66 Typical High $97.72 | Professional | TC · Technical part | $23.99 | $42.66 | $97.72 |
Blue Shield Setting Facility Modifier None Typical Low $64.57 Median $204.17 Typical High $346.74 | Facility | None | $64.57 | $204.17 | $346.74 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $28.84 Median $40.74 Typical High $70.79 | Professional | None (both parts) | $28.84 | $40.74 | $70.79 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.79 Typical High $18.62 | Professional | 26 · Professional part | $10.23 | $14.79 | $18.62 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.18 Typical High $37.15 | Professional | TC · Technical part | $19.95 | $28.18 | $37.15 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $38.02 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $467.74 Typical High $501.19 | Facility | None | $416.87 | $467.74 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $41.69 Typical High $72.44 | Professional | None (both parts) | $34.67 | $41.69 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.85 Typical High $26.92 | Professional | 26 · Professional part | $12.59 | $15.85 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.30 Typical High $46.77 | Professional | TC · Technical part | $21.88 | $26.30 | $46.77 |
Contra Costa Health Setting Professional Modifier None Typical Low $32.36 Median $44.67 Typical High $60.26 | Professional | None | $32.36 | $44.67 | $60.26 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.45 Typical High $17.78 | Professional | 26 · Professional part | $12.59 | $14.45 | $17.78 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $31.62 Typical High $42.66 | Professional | TC · Technical part | $19.50 | $31.62 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $85.11 | Professional | None | $34.67 | $41.69 | $85.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.49 Typical High $34.67 | Professional | 26 · Professional part | $11.48 | $15.49 | $34.67 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $36.31 Typical High $85.11 | Professional | TC · Technical part | $25.70 | $36.31 | $85.11 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $194.98 | $288.40 | $288.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $69.18 | $91.20 | $91.20 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $128.82 | $199.53 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.79 Median $27.54 Typical High $42.66 | Professional | None (both parts) | $14.79 | $27.54 | $42.66 |
Providence Setting Facility Modifier None Typical Low $35.48 Median $56.23 Typical High $467.74 | Facility | None | $35.48 | $56.23 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $35.48 Median $41.69 Typical High $74.13 | Professional | None (both parts) | $35.48 | $41.69 | $74.13 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.85 Typical High $23.99 | Professional | 26 · Professional part | $13.18 | $15.85 | $23.99 |
Providence Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.12 Typical High $43.65 | Professional | TC · Technical part | $21.88 | $25.12 | $43.65 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $77.62 | $77.62 | $77.62 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $323.59 | Facility | None | $213.80 | $213.80 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $38.02 Typical High $77.62 | Professional | None (both parts) | $28.18 | $38.02 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.45 Typical High $27.54 | Professional | 26 · Professional part | $10.47 | $14.45 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.44 Typical High $50.12 | Professional | TC · Technical part | $17.38 | $23.44 | $50.12 |
2 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 Professional Modifier 52 · Reduced service Typical Low $15.49 Median $17.78 Typical High $20.89 | Professional | 52 · Reduced service | $15.49 | $17.78 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.08 Typical High $8.32 | Professional | 53 · Discontinued | $6.17 | $7.08 | $8.32 |
Where California sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 15th of 51
$46.77
AK $83.18FL $30.90
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.