How much rates vary
Facilitymedian $1,023 · 10th to 90th $135 to $9,333Professionalmedian $219 · 10th to 90th $155 to $741
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 $234.42 Median $8,511.38 Typical High $18,620.87 | Facility | None | $234.42 | $8,511.38 | $18,620.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $323.59 | Professional | None (both parts) | $158.49 | $181.97 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $72.44 | $81.28 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $102.33 Typical High $181.97 | Professional | TC · Technical part | $87.10 | $102.33 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $77.62 | Professional | 26 · Professional part | $66.07 | $66.07 | $77.62 |
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 $120.23 Median $218.78 Typical High $645.65 | Professional | None (both parts) | $120.23 | $218.78 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $104.71 Typical High $281.84 | Professional | 26 · Professional part | $77.62 | $104.71 | $281.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $120.23 Typical High $363.08 | Professional | TC · Technical part | $117.49 | $120.23 | $363.08 |
Blue Shield Setting Facility Modifier None Typical Low $128.82 Median $741.31 Typical High $1,148.15 | Facility | None | $128.82 | $741.31 | $1,148.15 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $138.04 | $199.53 | $354.81 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $141.25 | Professional | 26 · Professional part | $48.98 | $70.79 | $141.25 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $77.62 | $109.65 | $199.53 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $338.84 | Professional | None (both parts) | $186.21 | $257.04 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $194.98 Typical High $446.68 | Professional | None (both parts) | $169.82 | $194.98 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $87.10 Typical High $213.80 | Professional | 26 · Professional part | $75.86 | $87.10 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $263.03 | Professional | TC · Technical part | $95.50 | $109.65 | $263.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $165.96 | Professional | None | $138.04 | $138.04 | $165.96 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $100.00 | Professional | 26 · Professional part | $66.07 | $87.10 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $380.19 | Professional | None | $173.78 | $199.53 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $107.15 Typical High $223.87 | Professional | 26 · Professional part | $72.44 | $107.15 | $223.87 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None (both parts) | $2,570.40 | $2,570.40 | $2,570.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 26 · Professional part | $1,202.26 | $1,202.26 | $1,202.26 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | TC · Technical part | $1,445.44 | $1,445.44 | $1,445.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $107.15 | $107.15 | $194.98 |
Providence Setting Facility Modifier None Typical Low $190.55 Median $257.04 Typical High $489.78 | Facility | None | $190.55 | $257.04 | $489.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $169.82 Median $194.98 Typical High $478.63 | Professional | None (both parts) | $169.82 | $194.98 | $478.63 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $83.18 Typical High $208.93 | Professional | 26 · Professional part | $75.86 | $83.18 | $208.93 |
Providence Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $269.15 | Professional | TC · Technical part | $95.50 | $109.65 | $269.15 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $245.47 | $245.47 | $245.47 |
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 $141.25 Median $199.53 Typical High $501.19 | Professional | None (both parts) | $141.25 | $199.53 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $213.80 | Professional | 26 · Professional part | $61.66 | $85.11 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $114.82 Typical High $302.00 | Professional | TC · Technical part | $77.62 | $114.82 | $302.00 |
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 $75.86 Median $83.18 Typical High $95.50 | Professional | 52 · Reduced service | $75.86 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.11 Typical High $38.02 | Professional | 53 · Discontinued | $30.20 | $33.11 | $38.02 |
Where California sits
The same service costs 4.3 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· 24th of 51
$219
WI $562HI $132
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.