How much rates vary
Facilitymedian $19 · 10th to 90th $14 to $282Professionalmedian $38 · 10th to 90th $13 to $54
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 $35.48 Median $38.02 Typical High $41.69 | Facility | None | $35.48 | $38.02 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $35.48 Typical High $41.69 | Professional | None (both parts) | $17.78 | $35.48 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.30 Typical High $14.45 | Professional | 26 · Professional part | $11.22 | $12.30 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $23.99 Typical High $28.84 | Professional | TC · Technical part | $3.98 | $23.99 | $28.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None (both parts) | $13.80 | $13.80 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $14.79 Typical High $60.26 | Facility | None | $11.48 | $14.79 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $11.75 Median $39.81 Typical High $75.86 | Professional | None (both parts) | $11.75 | $39.81 | $75.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $19.05 Typical High $56.23 | Professional | 26 · Professional part | $11.22 | $19.05 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $27.54 Typical High $41.69 | Professional | TC · Technical part | $8.91 | $27.54 | $41.69 |
Blue Shield Setting Facility Modifier None Typical Low $72.44 Median $213.80 Typical High $363.08 | Facility | None | $72.44 | $213.80 | $363.08 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $30.90 Median $43.65 Typical High $52.48 | Professional | None (both parts) | $30.90 | $43.65 | $52.48 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $13.80 Typical High $15.49 | Professional | 26 · Professional part | $9.77 | $13.80 | $15.49 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $29.51 Typical High $36.31 | Professional | TC · Technical part | $20.42 | $29.51 | $36.31 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $18.62 Median $18.62 Typical High $22.91 | Professional | None (both parts) | $18.62 | $18.62 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $323.59 Typical High $1,174.90 | Facility | None | $18.20 | $323.59 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.02 Median $13.49 Typical High $45.71 | Professional | None (both parts) | $12.02 | $13.49 | $45.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.75 Typical High $15.85 | Professional | 26 · Professional part | $10.96 | $11.75 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1.12 Median $1.32 Typical High $30.20 | Professional | TC · Technical part | $1.12 | $1.32 | $30.20 |
Contra Costa Health Setting Professional Modifier None Typical Low $11.22 Median $17.78 Typical High $22.39 | Professional | None | $11.22 | $17.78 | $22.39 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $4.47 Median $7.08 Typical High $16.98 | Professional | 26 · Professional part | $4.47 | $7.08 | $16.98 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $4.79 Median $8.32 Typical High $10.72 | Professional | TC · Technical part | $4.79 | $8.32 | $10.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.49 Median $18.20 Typical High $37.15 | Professional | None | $15.49 | $18.20 | $37.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.80 Typical High $18.62 | Professional | 26 · Professional part | $12.59 | $13.80 | $18.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $4.37 Typical High $5.62 | Professional | TC · Technical part | $3.63 | $4.37 | $5.62 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $223.87 | $223.87 | $269.15 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $89.13 | $109.65 | $109.65 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | TC · Technical part | $154.88 | $154.88 | $213.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.01 Median $18.62 Typical High $23.44 | Professional | None (both parts) | $5.01 | $18.62 | $23.44 |
Providence Setting Facility Modifier None Typical Low $23.99 Median $53.70 Typical High $309.03 | Facility | None | $23.99 | $53.70 | $309.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $12.02 Median $13.49 Typical High $45.71 | Professional | None (both parts) | $12.02 | $13.49 | $45.71 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.48 Typical High $15.14 | Professional | 26 · Professional part | $10.96 | $11.48 | $15.14 |
Providence Setting Professional Modifier TC · Technical part Typical Low $1.12 Median $1.32 Typical High $30.20 | Professional | TC · Technical part | $1.12 | $1.32 | $30.20 |
Sutter Health Plus 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 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
United Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
United Setting Professional Modifier None (both parts) Typical Low $12.30 Median $18.62 Typical High $42.66 | Professional | None (both parts) | $12.30 | $18.62 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $18.62 | Professional | 26 · Professional part | $9.77 | $11.48 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $2.24 Median $3.89 Typical High $27.54 | Professional | TC · Technical part | $2.24 | $3.89 | $27.54 |
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 $8.71 Median $17.78 Typical High $20.42 | Professional | 52 · Reduced service | $8.71 | $17.78 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $7.08 Typical High $8.32 | Professional | 53 · Discontinued | $3.55 | $7.08 | $8.32 |
Where California sits
The same service costs 2.6 times more in California 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· 1st of 51
$38.02
CA $38.02NY $14.45
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.