How much rates vary
Facilitymedian $81 · 10th to 90th $19 to $178Professionalmedian $60 · 10th to 90th $44 to $209
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 $60.26 Median $64.57 Typical High $69.18 | Facility | None | $60.26 | $64.57 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $60.26 Typical High $89.13 | Professional | None (both parts) | $57.54 | $60.26 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $48.98 | Professional | 26 · Professional part | $34.67 | $35.48 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $37.15 | Professional | TC · Technical part | $22.91 | $25.12 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $50.12 | $72.44 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $22.91 Typical High $95.50 | Facility | None | $18.20 | $22.91 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $93.33 | Professional | None (both parts) | $43.65 | $43.65 | $93.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $27.54 | $43.65 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $15.85 Typical High $30.90 | Professional | TC · Technical part | $15.85 | $15.85 | $30.90 |
Blue Shield Setting Facility Modifier None Typical Low $50.12 Median $131.83 Typical High $204.17 | Facility | None | $50.12 | $131.83 | $204.17 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $34.67 Median $48.98 Typical High $57.54 | Professional | None (both parts) | $34.67 | $48.98 | $57.54 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $31.62 Typical High $35.48 | Professional | 26 · Professional part | $22.39 | $31.62 | $35.48 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $16.98 Typical High $22.39 | Professional | TC · Technical part | $12.02 | $16.98 | $22.39 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $93.33 | Professional | None (both parts) | $75.86 | $75.86 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $58.88 Typical High $81.28 | Professional | None (both parts) | $54.95 | $58.88 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.88 Typical High $45.71 | Professional | 26 · Professional part | $32.36 | $33.88 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $24.55 Typical High $32.36 | Professional | TC · Technical part | $22.91 | $24.55 | $32.36 |
Contra Costa Health Setting Professional Modifier None Typical Low $26.92 Median $42.66 Typical High $91.20 | Professional | None | $26.92 | $42.66 | $91.20 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $33.11 Typical High $47.86 | Professional | 26 · Professional part | $20.89 | $33.11 | $47.86 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $5.89 Median $9.33 Typical High $42.66 | Professional | TC · Technical part | $5.89 | $9.33 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $138.04 | Professional | None | $61.66 | $72.44 | $138.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $34.67 | $38.90 | $52.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $44.67 | Professional | TC · Technical part | $29.51 | $35.48 | $44.67 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $549.54 | Professional | None (both parts) | $398.11 | $398.11 | $549.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $363.08 | $363.08 | $363.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $165.96 | $245.47 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $51.29 Typical High $89.13 | Professional | None (both parts) | $36.31 | $51.29 | $89.13 |
Providence Setting Facility Modifier None Typical Low $60.26 Median $85.11 Typical High $125.89 | Facility | None | $60.26 | $85.11 | $125.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $54.95 Median $58.88 Typical High $79.43 | Professional | None (both parts) | $54.95 | $58.88 | $79.43 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.88 Typical High $43.65 | Professional | 26 · Professional part | $32.36 | $33.88 | $43.65 |
Providence Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $24.55 Typical High $32.36 | Professional | TC · Technical part | $22.91 | $24.55 | $32.36 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $85.11 | $85.11 | $85.11 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $147.91 | Facility | None | $97.72 | $97.72 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $52.48 Typical High $89.13 | Professional | None (both parts) | $42.66 | $52.48 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $53.70 | Professional | 26 · Professional part | $26.92 | $30.90 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $20.89 Typical High $38.02 | Professional | TC · Technical part | $15.14 | $20.89 | $38.02 |
3 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 $27.54 Median $30.20 Typical High $34.67 | Professional | 52 · Reduced service | $27.54 | $30.20 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.02 Typical High $13.80 | Professional | 53 · Discontinued | $10.96 | $12.02 | $13.80 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 59 · Distinct service | $69.18 | $69.18 | $69.18 |
Where California sits
The same service costs 3.7 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· 32nd of 51
$60.26
AK $170FL $45.71
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.