How much rates vary
Facilitymedian $83 · 10th to 90th $18 to $282Professionalmedian $44 · 10th to 90th $22 to $112
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 $48.98 Median $52.48 Typical High $57.54 | Facility | None | $48.98 | $52.48 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $48.98 Typical High $60.26 | Professional | None (both parts) | $38.02 | $48.98 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.49 Typical High $21.38 | Professional | 26 · Professional part | $14.79 | $15.49 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $33.88 Typical High $40.74 | Professional | TC · Technical part | $21.38 | $33.88 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $32.36 Typical High $38.02 | Professional | None (both parts) | $25.12 | $32.36 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $20.89 Typical High $85.11 | Facility | None | $16.60 | $20.89 | $85.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.39 Median $35.48 Typical High $46.77 | Professional | None (both parts) | $22.39 | $35.48 | $46.77 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $34.67 | Professional | 26 · Professional part | $12.88 | $12.88 | $34.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $36.31 | Professional | TC · Technical part | $22.39 | $22.39 | $36.31 |
Blue Shield Setting Facility Modifier None Typical Low $69.18 Median $190.55 Typical High $331.13 | Facility | None | $69.18 | $190.55 | $331.13 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $32.36 Median $45.71 Typical High $56.23 | Professional | None (both parts) | $32.36 | $45.71 | $56.23 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.22 Typical High $18.20 | Professional | 26 · Professional part | $11.48 | $16.22 | $18.20 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $29.51 Typical High $38.02 | Professional | TC · Technical part | $20.42 | $29.51 | $38.02 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $48.98 | Professional | None (both parts) | $39.81 | $39.81 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $58.88 | Professional | None (both parts) | $28.84 | $34.67 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.49 Typical High $20.89 | Professional | 26 · Professional part | $13.80 | $15.49 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $18.20 Typical High $37.15 | Professional | TC · Technical part | $15.49 | $18.20 | $37.15 |
Contra Costa Health Setting Professional Modifier None Typical Low $26.30 Median $41.69 Typical High $50.12 | Professional | None | $26.30 | $41.69 | $50.12 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $18.62 | $25.12 | $38.02 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $6.03 Median $9.55 Typical High $27.54 | Professional | TC · Technical part | $6.03 | $9.55 | $27.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $66.07 | Professional | None | $32.36 | $38.02 | $66.07 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.98 Typical High $22.39 | Professional | 26 · Professional part | $15.14 | $16.98 | $22.39 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $28.84 | Professional | TC · Technical part | $18.62 | $22.39 | $28.84 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $363.08 | Professional | None (both parts) | $288.40 | $288.40 | $363.08 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $104.71 | $131.83 | $131.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $190.55 | $190.55 | $190.55 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.39 Median $23.99 Typical High $45.71 | Professional | None (both parts) | $22.39 | $23.99 | $45.71 |
Providence Setting Facility Modifier None Typical Low $46.77 Median $69.18 Typical High $97.72 | Facility | None | $46.77 | $69.18 | $97.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $58.88 | Professional | None (both parts) | $28.84 | $34.67 | $58.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.79 Typical High $20.42 | Professional | 26 · Professional part | $13.80 | $14.79 | $20.42 |
Providence Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $16.98 Typical High $36.31 | Professional | TC · Technical part | $15.49 | $16.98 | $36.31 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $58.88 | $58.88 | $58.88 |
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 $25.70 Median $35.48 Typical High $53.70 | Professional | None (both parts) | $25.70 | $35.48 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.79 Typical High $23.44 | Professional | 26 · Professional part | $12.30 | $14.79 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $19.50 Typical High $32.36 | Professional | TC · Technical part | $13.18 | $19.50 | $32.36 |
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 $16.98 Median $24.55 Typical High $28.84 | Professional | 52 · Reduced service | $16.98 | $24.55 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $9.77 Typical High $11.48 | Professional | 53 · Discontinued | $6.76 | $9.77 | $11.48 |
Where California sits
The same service costs 3.4 times more in Alaska than in New York. 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· 11th of 51
$44.67
AK $87.10NY $25.70
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.