How much rates vary
Facilitymedian $288 · 10th to 90th $69 to $692Professionalmedian $85 · 10th to 90th $60 to $288
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 $77.62 Median $85.11 Typical High $91.20 | Facility | None | $77.62 | $85.11 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $77.62 Typical High $91.20 | Professional | None (both parts) | $72.44 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $45.71 | Professional | 26 · Professional part | $38.90 | $40.74 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $37.15 Typical High $44.67 | Professional | TC · Technical part | $33.11 | $37.15 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $31.62 Typical High $34.67 | Facility | None | $29.51 | $31.62 | $34.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $75.86 Typical High $389.05 | Professional | None (both parts) | $66.07 | $75.86 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $194.98 | Professional | 26 · Professional part | $36.31 | $45.71 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $34.67 Typical High $204.17 | Professional | TC · Technical part | $29.51 | $34.67 | $204.17 |
Blue Shield Setting Facility Modifier None Typical Low $81.28 Median $426.58 Typical High $758.58 | Facility | None | $81.28 | $426.58 | $758.58 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $53.70 Median $75.86 Typical High $93.33 | Professional | None (both parts) | $53.70 | $75.86 | $93.33 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $39.81 | Professional | 26 · Professional part | $25.12 | $36.31 | $39.81 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.02 Typical High $45.71 | Professional | TC · Technical part | $26.30 | $38.02 | $45.71 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $128.82 | Professional | None (both parts) | $104.71 | $104.71 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $77.62 Typical High $109.65 | Professional | None (both parts) | $74.13 | $77.62 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $39.81 | $40.74 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $36.31 Typical High $56.23 | Professional | TC · Technical part | $33.88 | $36.31 | $56.23 |
Contra Costa Health Setting Professional Modifier None Typical Low $33.88 Median $53.70 Typical High $125.89 | Professional | None | $33.88 | $53.70 | $125.89 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $41.69 Typical High $60.26 | Professional | 26 · Professional part | $26.30 | $41.69 | $60.26 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $12.30 Typical High $66.07 | Professional | TC · Technical part | $7.76 | $12.30 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $218.78 | Professional | None | $85.11 | $100.00 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $66.07 | Professional | 26 · Professional part | $43.65 | $48.98 | $66.07 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $54.95 Typical High $69.18 | Professional | TC · Technical part | $44.67 | $54.95 | $69.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None (both parts) | $549.54 | $549.54 | $758.58 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $281.84 | $371.54 | $371.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $354.81 | $380.19 | $380.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $63.10 Typical High $120.23 | Professional | None (both parts) | $56.23 | $63.10 | $120.23 |
Providence Setting Facility Modifier None Typical Low $77.62 Median $114.82 Typical High $173.78 | Facility | None | $77.62 | $114.82 | $173.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $74.13 Median $77.62 Typical High $109.65 | Professional | None (both parts) | $74.13 | $77.62 | $109.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $40.74 Typical High $52.48 | Professional | 26 · Professional part | $39.81 | $40.74 | $52.48 |
Providence Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $36.31 Typical High $52.48 | Professional | TC · Technical part | $33.88 | $36.31 | $52.48 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
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 $134.90 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $134.90 | $134.90 | $134.90 |
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 $56.23 Median $69.18 Typical High $123.03 | Professional | None (both parts) | $56.23 | $69.18 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $64.57 | Professional | 26 · Professional part | $30.90 | $37.15 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $32.36 Typical High $58.88 | Professional | TC · Technical part | $24.55 | $32.36 | $58.88 |
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 $36.31 Median $38.90 Typical High $45.71 | Professional | 52 · Reduced service | $36.31 | $38.90 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.49 Typical High $18.20 | Professional | 53 · Discontinued | $14.45 | $15.49 | $18.20 |
Where California sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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
$85.11
AK $229NJ $61.66
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.