How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Professional Modifier Global Typical Low $57.54 Median $87.10 Typical High $295.12 | Professional | Global | $57.54 | $87.10 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $112.20 | Professional | 26 · Professional part | $22.39 | $28.84 | $112.20 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 50 · Both sides | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $31.62 Typical High $50.12 | Professional | 52 · Reduced service | $22.91 | $31.62 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $44.67 Typical High $87.10 | Professional | TC · Technical part | $26.92 | $44.67 | $87.10 |
Ambetter Setting Professional Modifier Global Typical Low $54.95 Median $67.61 Typical High $151.36 | Professional | Global | $54.95 | $67.61 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $47.86 Typical High $123.03 | Professional | 26 · Professional part | $22.91 | $47.86 | $123.03 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $34.67 Typical High $43.65 | Professional | TC · Technical part | $33.11 | $34.67 | $43.65 |
Anthem BCBS Setting Professional Modifier Global Typical Low $60.26 Median $97.72 Typical High $251.19 | Professional | Global | $60.26 | $97.72 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $39.81 Typical High $107.15 | Professional | 26 · Professional part | $23.99 | $39.81 | $107.15 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $70.79 Median $100.00 Typical High $114.82 | Professional | 50 · Both sides | $70.79 | $100.00 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $58.88 Typical High $158.49 | Professional | TC · Technical part | $30.90 | $58.88 | $158.49 |
Blue Shield Setting Professional Modifier Global Typical Low $60.26 Median $79.43 Typical High $107.15 | Professional | Global | $60.26 | $79.43 | $107.15 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.30 Typical High $64.57 | Professional | 26 · Professional part | $19.50 | $26.30 | $64.57 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $53.70 Typical High $100.00 | Professional | TC · Technical part | $40.74 | $53.70 | $100.00 |
Cigna Setting Professional Modifier Global Typical Low $48.98 Median $83.18 Typical High $194.98 | Professional | Global | $48.98 | $83.18 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.90 Typical High $77.62 | Professional | 26 · Professional part | $20.89 | $30.90 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $54.95 Typical High $117.49 | Professional | TC · Technical part | $28.18 | $54.95 | $117.49 |
Contra Costa Health Setting Professional Modifier Global Typical Low $29.51 Median $38.90 Typical High $93.33 | Professional | Global | $29.51 | $38.90 | $93.33 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $22.91 | $30.20 | $38.02 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $6.46 Median $8.51 Typical High $57.54 | Professional | TC · Technical part | $6.46 | $8.51 | $57.54 |
Kaiser Permanente Setting Professional Modifier Global Typical Low $58.88 Median $72.44 Typical High $128.82 | Professional | Global | $58.88 | $72.44 | $128.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $34.67 | Professional | 26 · Professional part | $24.55 | $28.84 | $34.67 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $46.77 Typical High $52.48 | Professional | TC · Technical part | $36.31 | $46.77 | $52.48 |
Lucent Health Setting Facility Modifier Global Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | Global | $398.11 | $398.11 | $398.11 |
Lucent Health Setting Facility Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 26 · Professional part | $165.96 | $165.96 | $165.96 |
Lucent Health Setting Professional Modifier Global Typical Low $87.10 Median $524.81 Typical High $524.81 | Professional | Global | $87.10 | $524.81 | $524.81 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $165.96 | $213.80 | $213.80 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $263.03 | $309.03 | $309.03 |
Molina Setting Professional Modifier Global Typical Low $38.02 Median $50.12 Typical High $87.10 | Professional | Global | $38.02 | $50.12 | $87.10 |
Providence Setting Facility Modifier Global Typical Low $51.29 Median $74.13 Typical High $112.20 | Facility | Global | $51.29 | $74.13 | $112.20 |
Providence Setting Professional Modifier Global Typical Low $50.12 Median $85.11 Typical High $177.83 | Professional | Global | $50.12 | $85.11 | $177.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.90 Typical High $72.44 | Professional | 26 · Professional part | $20.89 | $30.90 | $72.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $52.48 Typical High $109.65 | Professional | TC · Technical part | $28.18 | $52.48 | $109.65 |
Sutter Health Plus Setting Professional Modifier Global Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | Global | $208.93 | $208.93 | $208.93 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $120.23 | $120.23 | $120.23 |
The Alliance Setting Professional Modifier Global Typical Low $77.62 Median $77.62 Typical High $95.50 | Professional | Global | $77.62 | $77.62 | $95.50 |
United Setting Facility Modifier Global Typical Low $19.95 Median $28.18 Typical High $72.44 | Facility | Global | $19.95 | $28.18 | $72.44 |
United Setting Professional Modifier Global Typical Low $46.77 Median $61.66 Typical High $120.23 | Professional | Global | $46.77 | $61.66 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $60.26 | Professional | 26 · Professional part | $19.50 | $25.12 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.02 Typical High $77.62 | Professional | TC · Technical part | $26.92 | $38.02 | $77.62 |
Where California sits
The same service costs 1.5 times more in Montana than in Delaware. 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· 4th of 51
$87.10
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.