How much rates vary
Facilitymedian $37 · 10th to 90th $17 to $631Professionalmedian $110 · 10th to 90th $81 to $372
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 $97.72 Median $102.33 Typical High $117.49 | Facility | None | $97.72 | $102.33 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $102.33 Typical High $158.49 | Professional | None (both parts) | $93.33 | $102.33 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $19.05 | Professional | 26 · Professional part | $13.80 | $13.80 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $141.25 | Professional | TC · Technical part | $79.43 | $87.10 | $141.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $123.03 | $138.04 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $18.20 Typical High $75.86 | Facility | None | $14.45 | $18.20 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $93.33 Typical High $478.63 | Professional | None (both parts) | $58.88 | $93.33 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.95 Typical High $63.10 | Professional | 26 · Professional part | $14.45 | $19.95 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $79.43 Typical High $416.87 | Professional | TC · Technical part | $19.05 | $79.43 | $416.87 |
Blue Shield Setting Facility Modifier None Typical Low $128.82 Median $478.63 Typical High $794.33 | Facility | None | $128.82 | $478.63 | $794.33 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $67.61 Median $95.50 Typical High $117.49 | Professional | None (both parts) | $67.61 | $95.50 | $117.49 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $17.38 Typical High $19.05 | Professional | 26 · Professional part | $12.30 | $17.38 | $19.05 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $77.62 Typical High $97.72 | Professional | TC · Technical part | $54.95 | $77.62 | $97.72 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $208.93 | Professional | None (both parts) | $169.82 | $169.82 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $169.82 Typical High $588.84 | Facility | None | $154.88 | $169.82 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $95.50 Typical High $138.04 | Professional | None (both parts) | $89.13 | $95.50 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.80 Typical High $18.20 | Professional | 26 · Professional part | $12.30 | $13.80 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $120.23 | Professional | TC · Technical part | $75.86 | $83.18 | $120.23 |
Contra Costa Health Setting Professional Modifier None Typical Low $11.22 Median $17.78 Typical High $204.17 | Professional | None | $11.22 | $17.78 | $204.17 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $4.47 Median $7.08 Typical High $19.05 | Professional | 26 · Professional part | $4.47 | $7.08 | $19.05 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $6.61 Median $10.72 Typical High $186.21 | Professional | TC · Technical part | $6.61 | $10.72 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $158.49 Typical High $257.04 | Professional | None | $131.83 | $158.49 | $257.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.85 Typical High $20.89 | Professional | 26 · Professional part | $14.13 | $15.85 | $20.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $190.55 | Professional | TC · Technical part | $125.89 | $151.36 | $190.55 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $1,174.90 | Professional | None (both parts) | $794.33 | $794.33 | $1,174.90 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $141.25 | $141.25 | $141.25 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $707.95 | $1,047.13 | $1,047.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $158.49 Typical High $177.83 | Professional | None (both parts) | $20.89 | $158.49 | $177.83 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $147.91 Typical High $223.87 | Facility | None | $67.61 | $147.91 | $223.87 |
Providence Setting Professional Modifier None (both parts) Typical Low $89.13 Median $95.50 Typical High $138.04 | Professional | None (both parts) | $89.13 | $95.50 | $138.04 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.80 Typical High $17.38 | Professional | 26 · Professional part | $12.30 | $13.80 | $17.38 |
Providence Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $114.82 | Professional | TC · Technical part | $75.86 | $83.18 | $114.82 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $50.12 | $50.12 | $50.12 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $323.59 | $323.59 | $323.59 |
United Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $89.13 Typical High $181.97 | Professional | None (both parts) | $74.13 | $89.13 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.18 Typical High $21.38 | Professional | 26 · Professional part | $11.22 | $13.18 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $162.18 | Professional | TC · Technical part | $60.26 | $75.86 | $162.18 |
3 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 $45.71 Median $48.98 Typical High $58.88 | Professional | 52 · Reduced service | $45.71 | $48.98 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.50 Typical High $23.44 | Professional | 53 · Discontinued | $18.62 | $19.50 | $23.44 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 59 · Distinct service | $117.49 | $117.49 | $117.49 |
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· 36th of 51
$110
AK $245FL $81.28
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.