How much rates vary
Facilitymedian $2,818 · 10th to 90th $269 to $7,943Professionalmedian $275 · 10th to 90th $155 to $1,549
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 $229.09 Median $239.88 Typical High $269.15 | Facility | None | $229.09 | $239.88 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $269.15 Typical High $446.68 | Professional | None (both parts) | $204.17 | $269.15 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $64.57 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $204.17 Typical High $331.13 | Professional | TC · Technical part | $151.36 | $204.17 | $331.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,122.02 |
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 $87.10 Median $165.96 Typical High $512.86 | Professional | None (both parts) | $87.10 | $165.96 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $177.83 | Professional | 26 · Professional part | $46.77 | $52.48 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $120.23 Typical High $457.09 | Professional | TC · Technical part | $109.65 | $120.23 | $457.09 |
Blue Shield Setting Facility Modifier None Typical Low $223.87 Median $1,737.80 Typical High $3,090.30 | Facility | None | $223.87 | $1,737.80 | $3,090.30 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $181.97 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $181.97 | $275.42 | $478.63 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $38.90 | $57.54 | $102.33 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $218.78 Typical High $371.54 | Professional | TC · Technical part | $141.25 | $218.78 | $371.54 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $309.03 Typical High $380.19 | Professional | None (both parts) | $138.04 | $309.03 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $281.84 Typical High $501.19 | Professional | None (both parts) | $223.87 | $281.84 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $112.20 | Professional | 26 · Professional part | $50.12 | $66.07 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $213.80 Typical High $398.11 | Professional | TC · Technical part | $169.82 | $213.80 | $398.11 |
Contra Costa Health Setting Professional Modifier None Typical Low $74.13 Median $338.84 Typical High $457.09 | Professional | None | $74.13 | $338.84 | $457.09 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $74.13 | Professional | 26 · Professional part | $44.67 | $56.23 | $74.13 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $281.84 Typical High $380.19 | Professional | TC · Technical part | $29.51 | $281.84 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $630.96 | Professional | None | $257.04 | $309.03 | $630.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $147.91 | Professional | 26 · Professional part | $47.86 | $64.57 | $147.91 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $323.59 Typical High $741.31 | Professional | TC · Technical part | $223.87 | $323.59 | $741.31 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $2,137.96 Typical High $2,137.96 | Professional | None (both parts) | $1,548.82 | $2,137.96 | $2,137.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $323.59 | $398.11 | $398.11 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,737.80 Typical High $1,737.80 | Professional | TC · Technical part | $1,230.27 | $1,737.80 | $1,737.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $66.07 Typical High $257.04 | Professional | None (both parts) | $33.11 | $66.07 | $257.04 |
Providence Setting Facility Modifier None Typical Low $177.83 Median $346.74 Typical High $537.03 | Facility | None | $177.83 | $346.74 | $537.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $223.87 Median $281.84 Typical High $501.19 | Professional | None (both parts) | $223.87 | $281.84 | $501.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $51.29 | $66.07 | $97.72 |
Providence Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $213.80 Typical High $398.11 | Professional | TC · Technical part | $169.82 | $213.80 | $398.11 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $676.08 | $676.08 | $676.08 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $154.88 | $154.88 | $154.88 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | TC · Technical part | $524.81 | $524.81 | $524.81 |
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 $154.88 Median $223.87 Typical High $457.09 | Professional | None (both parts) | $154.88 | $223.87 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $51.29 Typical High $97.72 | Professional | 26 · Professional part | $37.15 | $51.29 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $363.08 | Professional | TC · Technical part | $117.49 | $165.96 | $363.08 |
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 $100.00 Median $112.20 Typical High $134.90 | Professional | 52 · Reduced service | $100.00 | $112.20 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $45.71 Typical High $53.70 | Professional | 53 · Discontinued | $40.74 | $45.71 | $53.70 |
Where California sits
The same service costs 3.0 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· 20th of 51
$275
AK $513FL $174
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.