How much rates vary
Facilitymedian $2,291 · 10th to 90th $186 to $7,943Professionalmedian $148 · 10th to 90th $110 to $851
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 $134.90 Median $141.25 Typical High $158.49 | Facility | None | $134.90 | $141.25 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $281.84 | Professional | None (both parts) | $125.89 | $162.18 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $42.66 | $47.86 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $213.80 | Professional | TC · Technical part | $85.11 | $109.65 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | None (both parts) | $141.25 | $141.25 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,187.76 Median $4,786.30 Typical High $10,000.00 | Facility | None | $2,187.76 | $4,786.30 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $363.08 | Professional | None (both parts) | $109.65 | $120.23 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $138.04 | Professional | 26 · Professional part | $38.90 | $40.74 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $223.87 | Professional | TC · Technical part | $70.79 | $74.13 | $223.87 |
Blue Shield Setting Facility Modifier None Typical Low $199.53 Median $741.31 Typical High $1,230.27 | Facility | None | $199.53 | $741.31 | $1,230.27 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $85.11 Median $128.82 Typical High $229.09 | Professional | None (both parts) | $85.11 | $128.82 | $229.09 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $27.54 | $41.69 | $72.44 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $89.13 Typical High $158.49 | Professional | TC · Technical part | $57.54 | $89.13 | $158.49 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $204.17 Typical High $245.47 | Professional | None (both parts) | $123.03 | $204.17 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $269.15 | Professional | None (both parts) | $112.20 | $144.54 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $42.66 | $48.98 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $97.72 Typical High $190.55 | Professional | TC · Technical part | $64.57 | $97.72 | $190.55 |
Contra Costa Health Setting Professional Modifier None Typical Low $81.28 Median $218.78 Typical High $295.12 | Professional | None | $81.28 | $218.78 | $295.12 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $69.18 | Professional | 26 · Professional part | $45.71 | $54.95 | $69.18 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $169.82 Typical High $229.09 | Professional | TC · Technical part | $36.31 | $169.82 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $416.87 | Professional | None | $169.82 | $204.17 | $416.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $134.90 | Professional | 26 · Professional part | $43.65 | $58.88 | $134.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $194.98 Typical High $457.09 | Professional | TC · Technical part | $134.90 | $194.98 | $457.09 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $851.14 | $1,412.54 | $1,412.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $263.03 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $630.96 | $1,047.13 | $1,047.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $58.88 Typical High $218.78 | Professional | None (both parts) | $33.11 | $58.88 | $218.78 |
Providence Setting Facility Modifier None Typical Low $134.90 Median $190.55 Typical High $257.04 | Facility | None | $134.90 | $190.55 | $257.04 |
Providence Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $112.20 | $144.54 | $275.42 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $42.66 | $48.98 | $81.28 |
Providence Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $95.50 Typical High $165.96 | Professional | TC · Technical part | $64.57 | $95.50 | $165.96 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $141.25 | $141.25 | $141.25 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $204.17 | $204.17 | $204.17 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $549.54 | Facility | None | $354.81 | $354.81 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $128.82 Typical High $288.40 | Professional | None (both parts) | $81.28 | $128.82 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $87.10 | Professional | 26 · Professional part | $33.11 | $43.65 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $79.43 Typical High $186.21 | Professional | TC · Technical part | $47.86 | $79.43 | $186.21 |
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 $58.88 Median $66.07 Typical High $77.62 | Professional | 52 · Reduced service | $58.88 | $66.07 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.92 Typical High $31.62 | Professional | 53 · Discontinued | $23.99 | $26.92 | $31.62 |
Where California sits
The same service costs 3.2 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· 25th of 51
$151
AK $347NY $107
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.