How much rates vary
Facilitymedian $501 · 10th to 90th $62 to $1,047Professionalmedian $62 · 10th to 90th $44 to $200
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 $61.66 Median $64.57 Typical High $72.44 | Facility | None | $61.66 | $64.57 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $61.66 Typical High $74.13 | Professional | None (both parts) | $52.48 | $61.66 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $15.85 | Professional | 26 · Professional part | $11.22 | $11.22 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $50.12 Typical High $60.26 | Professional | TC · Technical part | $39.81 | $50.12 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $11.22 Typical High $12.30 | Facility | None | $10.47 | $11.22 | $12.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $43.65 Typical High $60.26 | Professional | None (both parts) | $36.31 | $43.65 | $60.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $16.22 | Professional | 26 · Professional part | $8.91 | $8.91 | $16.22 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $45.71 | Professional | TC · Technical part | $34.67 | $34.67 | $45.71 |
Blue Shield Setting Facility Modifier None Typical Low $89.13 Median $660.69 Typical High $1,122.02 | Facility | None | $89.13 | $660.69 | $1,122.02 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $46.77 Median $66.07 Typical High $79.43 | Professional | None (both parts) | $46.77 | $66.07 | $79.43 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.72 Typical High $12.59 | Professional | 26 · Professional part | $7.76 | $10.72 | $12.59 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $53.70 Typical High $64.57 | Professional | TC · Technical part | $37.15 | $53.70 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $67.61 Typical High $107.15 | Professional | None (both parts) | $53.70 | $67.61 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.02 Typical High $19.05 | Professional | 26 · Professional part | $10.72 | $12.02 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $54.95 Typical High $87.10 | Professional | TC · Technical part | $43.65 | $54.95 | $87.10 |
Contra Costa Health Setting Professional Modifier None Typical Low $19.50 Median $25.70 Typical High $47.86 | Professional | None | $19.50 | $25.70 | $47.86 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.85 Typical High $19.95 | Professional | 26 · Professional part | $15.14 | $15.85 | $19.95 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $5.89 Typical High $29.51 | Professional | TC · Technical part | $4.47 | $5.89 | $29.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $29.51 Median $42.66 Typical High $109.65 | Professional | None | $29.51 | $42.66 | $109.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $18.62 Typical High $42.66 | Professional | 26 · Professional part | $13.18 | $18.62 | $42.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $29.51 Typical High $72.44 | Professional | TC · Technical part | $20.89 | $29.51 | $72.44 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $630.96 | $630.96 | $630.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $346.74 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $537.03 | $537.03 | $537.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.13 Median $51.29 Typical High $56.23 | Professional | None (both parts) | $14.13 | $51.29 | $56.23 |
Providence Setting Facility Modifier None Typical Low $48.98 Median $91.20 Typical High $158.49 | Facility | None | $48.98 | $91.20 | $158.49 |
Providence Setting Professional Modifier None (both parts) Typical Low $53.70 Median $67.61 Typical High $95.50 | Professional | None (both parts) | $53.70 | $67.61 | $95.50 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.02 Typical High $15.85 | Professional | 26 · Professional part | $10.72 | $12.02 | $15.85 |
Providence Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $54.95 Typical High $75.86 | Professional | TC · Technical part | $43.65 | $54.95 | $75.86 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $158.49 | $158.49 | $158.49 |
United Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $1,122.02 | Facility | None | $741.31 | $741.31 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $48.98 Typical High $102.33 | Professional | None (both parts) | $40.74 | $48.98 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.72 Typical High $19.95 | Professional | 26 · Professional part | $8.91 | $10.72 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $40.74 Typical High $77.62 | Professional | TC · Technical part | $30.20 | $40.74 | $77.62 |
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 $27.54 Median $30.90 Typical High $36.31 | Professional | 52 · Reduced service | $27.54 | $30.90 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.30 Typical High $14.45 | Professional | 53 · Discontinued | $10.96 | $12.30 | $14.45 |
Where California sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 8th of 51
$61.66
AK $110OH $33.11
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.