How much rates vary
Facilitymedian $155 · 10th to 90th $50 to $331Professionalmedian $50 · 10th to 90th $27 to $178
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 $50.12 Median $53.70 Typical High $60.26 | Facility | None | $50.12 | $53.70 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $53.70 Typical High $95.50 | Professional | None (both parts) | $47.86 | $53.70 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.12 Typical High $13.80 | Professional | 26 · Professional part | $8.32 | $9.12 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $43.65 Typical High $81.28 | Professional | TC · Technical part | $38.90 | $43.65 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $53.70 | $53.70 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.94 Median $8.51 Typical High $9.33 | Facility | None | $7.94 | $8.51 | $9.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $7.76 Median $38.90 Typical High $47.86 | Professional | None (both parts) | $7.76 | $38.90 | $47.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $21.38 | Professional | 26 · Professional part | $7.76 | $7.76 | $21.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $48.98 | Professional | TC · Technical part | $30.90 | $30.90 | $48.98 |
Blue Shield Setting Facility Modifier None Typical Low $72.44 Median $199.53 Typical High $363.08 | Facility | None | $72.44 | $199.53 | $363.08 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.02 Typical High $53.70 | Professional | None (both parts) | $26.92 | $38.02 | $53.70 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $7.94 Typical High $9.55 | Professional | 26 · Professional part | $5.75 | $7.94 | $9.55 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $30.90 Typical High $43.65 | Professional | TC · Technical part | $21.38 | $30.90 | $43.65 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $51.29 Typical High $85.11 | Professional | None (both parts) | $45.71 | $51.29 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $13.80 | Professional | 26 · Professional part | $7.94 | $8.91 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $43.65 Typical High $70.79 | Professional | TC · Technical part | $36.31 | $43.65 | $70.79 |
Contra Costa Health Setting Professional Modifier None Typical Low $16.22 Median $21.38 Typical High $83.18 | Professional | None | $16.22 | $21.38 | $83.18 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.88 Typical High $16.22 | Professional | 26 · Professional part | $10.23 | $12.88 | $16.22 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $3.72 Median $4.90 Typical High $72.44 | Professional | TC · Technical part | $3.72 | $4.90 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $144.54 | Professional | None | $51.29 | $72.44 | $144.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.75 Typical High $26.92 | Professional | 26 · Professional part | $8.32 | $11.75 | $26.92 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $72.44 Typical High $173.78 | Professional | TC · Technical part | $51.29 | $72.44 | $173.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $346.74 | $478.63 | $478.63 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $173.78 | $173.78 | $173.78 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $407.38 Typical High $407.38 | Professional | TC · Technical part | $288.40 | $407.38 | $407.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.02 Median $61.66 Typical High $74.13 | Professional | None (both parts) | $12.02 | $61.66 | $74.13 |
Providence Setting Facility Modifier None Typical Low $50.12 Median $72.44 Typical High $93.33 | Facility | None | $50.12 | $72.44 | $93.33 |
Providence Setting Professional Modifier None (both parts) Typical Low $45.71 Median $51.29 Typical High $70.79 | Professional | None (both parts) | $45.71 | $51.29 | $70.79 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $11.75 | Professional | 26 · Professional part | $7.94 | $8.91 | $11.75 |
Providence Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $43.65 Typical High $56.23 | Professional | TC · Technical part | $36.31 | $43.65 | $56.23 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $29.51 | $29.51 | $29.51 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $147.91 | $147.91 | $147.91 |
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 $33.11 Median $44.67 Typical High $95.50 | Professional | None (both parts) | $33.11 | $44.67 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.76 Typical High $14.13 | Professional | 26 · Professional part | $6.61 | $7.76 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $37.15 Typical High $79.43 | Professional | TC · Technical part | $26.92 | $37.15 | $79.43 |
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 $22.91 Median $25.12 Typical High $30.20 | Professional | 52 · Reduced service | $22.91 | $25.12 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $10.00 Typical High $12.02 | Professional | 53 · Discontinued | $9.12 | $10.00 | $12.02 |
Where California sits
The same service costs 3.5 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· 30th of 51
$50.12
AK $135NJ $38.90
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.