How much rates vary
Facilitymedian $98 · 10th to 90th $22 to $389Professionalmedian $65 · 10th to 90th $43 to $158
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 $69.18 Median $72.44 Typical High $81.28 | Facility | None | $69.18 | $72.44 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $69.18 Typical High $85.11 | Professional | None (both parts) | $53.70 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.89 Typical High $27.54 | Professional | 26 · Professional part | $19.50 | $20.89 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $47.86 Typical High $57.54 | Professional | TC · Technical part | $31.62 | $47.86 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $42.66 | Professional | None (both parts) | $40.74 | $40.74 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $25.70 Typical High $107.15 | Facility | None | $20.42 | $25.70 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $95.50 | Professional | None (both parts) | $47.86 | $47.86 | $95.50 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $39.81 | Professional | 26 · Professional part | $16.22 | $16.22 | $39.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $61.66 | Professional | TC · Technical part | $31.62 | $31.62 | $61.66 |
Blue Shield Setting Facility Modifier None Typical Low $74.13 Median $257.04 Typical High $457.09 | Facility | None | $74.13 | $257.04 | $457.09 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $41.69 Median $60.26 Typical High $74.13 | Professional | None (both parts) | $41.69 | $60.26 | $74.13 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.42 Typical High $22.91 | Professional | 26 · Professional part | $14.45 | $20.42 | $22.91 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $38.90 Typical High $51.29 | Professional | TC · Technical part | $27.54 | $38.90 | $51.29 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $69.18 | Professional | None (both parts) | $57.54 | $57.54 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $48.98 Typical High $79.43 | Professional | None (both parts) | $40.74 | $48.98 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $20.42 Typical High $26.92 | Professional | 26 · Professional part | $18.20 | $20.42 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.92 Typical High $51.29 | Professional | TC · Technical part | $22.91 | $26.92 | $51.29 |
Contra Costa Health Setting Professional Modifier None Typical Low $27.54 Median $43.65 Typical High $67.61 | Professional | None | $27.54 | $43.65 | $67.61 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.30 Typical High $38.90 | Professional | 26 · Professional part | $20.89 | $26.30 | $38.90 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $6.31 Median $10.00 Typical High $41.69 | Professional | TC · Technical part | $6.31 | $10.00 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $89.13 | Professional | None | $45.71 | $53.70 | $89.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.88 Typical High $28.84 | Professional | 26 · Professional part | $19.50 | $21.88 | $28.84 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $43.65 | Professional | TC · Technical part | $28.18 | $33.88 | $43.65 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $407.38 | Professional | None (both parts) | $346.74 | $346.74 | $407.38 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $128.82 | $169.82 | $169.82 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $229.09 | $234.42 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $64.57 | Professional | None (both parts) | $28.84 | $35.48 | $64.57 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $93.33 Typical High $125.89 | Facility | None | $66.07 | $93.33 | $125.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $40.74 Median $48.98 Typical High $77.62 | Professional | None (both parts) | $40.74 | $48.98 | $77.62 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.50 Typical High $25.70 | Professional | 26 · Professional part | $18.20 | $19.50 | $25.70 |
Providence Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $50.12 | Professional | TC · Technical part | $22.91 | $25.12 | $50.12 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $87.10 | $87.10 | $87.10 |
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 $36.31 Median $48.98 Typical High $75.86 | Professional | None (both parts) | $36.31 | $48.98 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.05 Typical High $30.90 | Professional | 26 · Professional part | $16.22 | $19.05 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $28.84 Typical High $47.86 | Professional | TC · Technical part | $19.50 | $28.84 | $47.86 |
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 $23.99 Median $34.67 Typical High $40.74 | Professional | 52 · Reduced service | $23.99 | $34.67 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $13.80 Typical High $16.22 | Professional | 53 · Discontinued | $9.55 | $13.80 | $16.22 |
Where California sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 10th of 51
$64.57
AK $123UT $36.31
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.