How much rates vary
Facilitymedian $1,514 · 10th to 90th $138 to $9,333Professionalmedian $355 · 10th to 90th $263 to $1,230
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 $407.38 Median $8,128.31 Typical High $18,197.01 | Facility | None | $407.38 | $8,128.31 | $18,197.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $302.00 Typical High $537.03 | Professional | None (both parts) | $263.03 | $302.00 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $102.33 Typical High $177.83 | Professional | 26 · Professional part | $89.13 | $102.33 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $204.17 Typical High $338.84 | Professional | TC · Technical part | $173.78 | $204.17 | $338.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $147.91 | Professional | 26 · Professional part | $81.28 | $83.18 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $10,000.00 | Facility | None | $2,137.96 | $4,786.30 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $363.08 Typical High $1,071.52 | Professional | None (both parts) | $346.74 | $363.08 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $131.83 Typical High $354.81 | Professional | 26 · Professional part | $102.33 | $131.83 | $354.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $239.88 Typical High $724.44 | Professional | TC · Technical part | $234.42 | $239.88 | $724.44 |
Blue Shield Setting Facility Modifier None Typical Low $257.04 Median $1,479.11 Typical High $2,290.87 | Facility | None | $257.04 | $1,479.11 | $2,290.87 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $229.09 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $229.09 | $331.13 | $588.84 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $87.10 Typical High $177.83 | Professional | 26 · Professional part | $61.66 | $87.10 | $177.83 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $218.78 Typical High $389.05 | Professional | TC · Technical part | $154.88 | $218.78 | $389.05 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $446.68 Typical High $549.54 | Professional | None (both parts) | $323.59 | $446.68 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $331.13 Typical High $741.31 | Professional | None (both parts) | $281.84 | $331.13 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $107.15 Typical High $263.03 | Professional | 26 · Professional part | $95.50 | $107.15 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $512.86 | Professional | TC · Technical part | $190.55 | $218.78 | $512.86 |
Contra Costa Health Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $269.15 | Professional | None | $223.87 | $223.87 | $269.15 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $125.89 | Professional | 26 · Professional part | $83.18 | $109.65 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $331.13 Typical High $575.44 | Professional | None | $295.12 | $331.13 | $575.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $134.90 Typical High $281.84 | Professional | 26 · Professional part | $91.20 | $134.90 | $281.84 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None (both parts) | $2,951.21 | $2,951.21 | $2,951.21 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | 26 · Professional part | $1,513.56 | $1,513.56 | $1,513.56 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $2,818.38 | $2,818.38 | $2,818.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $316.23 | Professional | None (both parts) | $134.90 | $134.90 | $316.23 |
Providence Setting Facility Modifier None Typical Low $323.59 Median $457.09 Typical High $870.96 | Facility | None | $323.59 | $457.09 | $870.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $281.84 Median $323.59 Typical High $794.33 | Professional | None (both parts) | $281.84 | $323.59 | $794.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $104.71 Typical High $263.03 | Professional | 26 · Professional part | $95.50 | $104.71 | $263.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $213.80 Typical High $524.81 | Professional | TC · Technical part | $190.55 | $213.80 | $524.81 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $302.00 | $302.00 | $302.00 |
United Setting Facility Modifier None Typical Low $123.03 Median $501.19 Typical High $3,090.30 | Facility | None | $123.03 | $501.19 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $338.84 Typical High $851.14 | Professional | None (both parts) | $234.42 | $338.84 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $269.15 | Professional | 26 · Professional part | $75.86 | $107.15 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $229.09 Typical High $616.60 | Professional | TC · Technical part | $154.88 | $229.09 | $616.60 |
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 $125.89 Median $138.04 Typical High $158.49 | Professional | 52 · Reduced service | $125.89 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $54.95 Typical High $64.57 | Professional | 53 · Discontinued | $50.12 | $54.95 | $64.57 |
Where California sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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· 20th of 51
$363
WI $891HI $138
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.