How much rates vary
Facilitymedian $91 · 10th to 90th $20 to $339Professionalmedian $71 · 10th to 90th $58 to $407
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $63.10 Median $69.18 Typical High $69.18 | Facility | None | $63.10 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $69.18 Typical High $85.11 | Professional | None (both parts) | $61.66 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $42.66 | $46.77 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.38 Typical High $26.30 | Professional | TC · Technical part | $18.62 | $21.38 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $19.05 Typical High $20.89 | Facility | None | $17.78 | $19.05 | $20.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $60.26 Typical High $162.18 | Professional | None (both parts) | $57.54 | $60.26 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $120.23 | Professional | 26 · Professional part | $40.74 | $42.66 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $18.62 Typical High $53.70 | Professional | TC · Technical part | $16.98 | $18.62 | $53.70 |
Blue Shield Setting Facility Modifier None Typical Low $91.20 Median $302.00 Typical High $380.19 | Facility | None | $91.20 | $302.00 | $380.19 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $47.86 Median $67.61 Typical High $100.00 | Professional | None (both parts) | $47.86 | $67.61 | $100.00 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $47.86 | $69.18 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $19.95 Typical High $29.51 | Professional | TC · Technical part | $14.13 | $19.95 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $138.04 Typical High $478.63 | Facility | None | $72.44 | $138.04 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $74.13 Typical High $144.54 | Professional | None (both parts) | $64.57 | $74.13 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $100.00 | Professional | 26 · Professional part | $44.67 | $52.48 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.91 Typical High $46.77 | Professional | TC · Technical part | $19.05 | $22.91 | $46.77 |
Contra Costa Health Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $107.15 | Professional | None | $77.62 | $87.10 | $107.15 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $69.18 | Professional | 26 · Professional part | $51.29 | $56.23 | $69.18 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $29.51 Typical High $36.31 | Professional | TC · Technical part | $26.92 | $29.51 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $70.79 Typical High $147.91 | Professional | None | $61.66 | $70.79 | $147.91 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $97.72 | Professional | 26 · Professional part | $42.66 | $51.29 | $97.72 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $51.29 | Professional | TC · Technical part | $20.89 | $25.70 | $51.29 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $407.38 | $524.81 | $524.81 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $354.81 Typical High $354.81 | Professional | 26 · Professional part | $281.84 | $354.81 | $354.81 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $125.89 | $169.82 | $169.82 |
Providence Setting Facility Modifier None Typical Low $63.10 Median $97.72 Typical High $173.78 | Facility | None | $63.10 | $97.72 | $173.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $64.57 Median $74.13 Typical High $147.91 | Professional | None (both parts) | $64.57 | $74.13 | $147.91 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $50.12 Typical High $83.18 | Professional | 26 · Professional part | $44.67 | $50.12 | $83.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.39 Typical High $38.02 | Professional | TC · Technical part | $19.05 | $22.39 | $38.02 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $147.91 | $147.91 | $147.91 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $61.66 | $61.66 | $61.66 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $338.84 | Facility | None | $218.78 | $218.78 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $67.61 Typical High $131.83 | Professional | None (both parts) | $48.98 | $67.61 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $93.33 | Professional | 26 · Professional part | $34.67 | $46.77 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $20.89 Typical High $41.69 | Professional | TC · Technical part | $14.13 | $20.89 | $41.69 |
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 $30.90 Median $30.90 Typical High $34.67 | Professional | 52 · Reduced service | $30.90 | $30.90 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.59 Typical High $14.13 | Professional | 53 · Discontinued | $12.30 | $12.59 | $14.13 |
Where California sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 28th of 51
$70.79
AK $170TX $43.65
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.