How much rates vary
Facilitymedian $331 · 10th to 90th $98 to $776Professionalmedian $145 · 10th to 90th $95 to $851
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 $117.49 Median $125.89 Typical High $134.90 | Facility | None | $117.49 | $125.89 | $134.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $446.68 | Facility | TC · Technical part | $60.26 | $72.44 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $117.49 Typical High $134.90 | Professional | None (both parts) | $107.15 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $57.54 Typical High $63.10 | Professional | 26 · Professional part | $53.70 | $57.54 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $60.26 Typical High $72.44 | Professional | TC · Technical part | $53.70 | $60.26 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $89.13 Typical High $97.72 | Facility | None | $83.18 | $89.13 | $97.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $177.83 Typical High $363.08 | Professional | None (both parts) | $102.33 | $177.83 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $93.33 Typical High $194.98 | Professional | 26 · Professional part | $50.12 | $93.33 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $85.11 Typical High $186.21 | Professional | TC · Technical part | $52.48 | $85.11 | $186.21 |
Blue Shield Setting Facility Modifier None Typical Low $112.20 Median $380.19 Typical High $676.08 | Facility | None | $112.20 | $380.19 | $676.08 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $81.28 Median $117.49 Typical High $162.18 | Professional | None (both parts) | $81.28 | $117.49 | $162.18 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $47.86 | $67.61 | $91.20 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $48.98 Typical High $70.79 | Professional | TC · Technical part | $34.67 | $48.98 | $70.79 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $269.15 | Professional | None (both parts) | $131.83 | $165.96 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $17,782.79 Typical High $23,988.33 | Facility | None | $316.23 | $17,782.79 | $23,988.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $114.82 | $125.89 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $57.54 | $64.57 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $112.20 | Professional | TC · Technical part | $53.70 | $64.57 | $112.20 |
Contra Costa Health Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $199.53 | Professional | None | $104.71 | $147.91 | $199.53 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $87.10 | Professional | 26 · Professional part | $63.10 | $69.18 | $87.10 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $85.11 Typical High $114.82 | Professional | TC · Technical part | $31.62 | $85.11 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $281.84 | Professional | None | $109.65 | $131.83 | $281.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $165.96 | Professional | 26 · Professional part | $51.29 | $63.10 | $165.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $229.09 | Professional | TC · Technical part | $63.10 | $83.18 | $229.09 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $977.24 | Professional | None (both parts) | $851.14 | $851.14 | $977.24 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $575.44 | $575.44 | $575.44 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | TC · Technical part | $575.44 | $575.44 | $575.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $154.88 | Professional | None (both parts) | $77.62 | $77.62 | $154.88 |
Optum Setting Professional Modifier None (both parts) Typical Low $30.90 Median $54.95 Typical High $70.79 | Professional | None (both parts) | $30.90 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $123.03 Median $181.97 Typical High $1,513.56 | Facility | None | $123.03 | $181.97 | $1,513.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $114.82 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $114.82 | $125.89 | $218.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $57.54 | $64.57 | $100.00 |
Providence Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $61.66 Typical High $102.33 | Professional | TC · Technical part | $53.70 | $61.66 | $102.33 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 26 · Professional part | $186.21 | $186.21 | $186.21 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $173.78 | $173.78 | $173.78 |
United Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $1,122.02 | Facility | None | $741.31 | $741.31 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $123.03 Typical High $208.93 | Professional | None (both parts) | $83.18 | $123.03 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $43.65 | $63.10 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $60.26 Typical High $109.65 | Professional | TC · Technical part | $40.74 | $60.26 | $109.65 |
4 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 Facility Modifier 52 · Reduced service Typical Low $58.88 Median $67.61 Typical High $223.87 | Facility | 52 · Reduced service | $58.88 | $67.61 | $223.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.44 Median $26.92 Typical High $89.13 | Facility | 53 · Discontinued | $23.44 | $26.92 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $58.88 Typical High $67.61 | Professional | 52 · Reduced service | $53.70 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $23.44 Typical High $26.92 | Professional | 53 · Discontinued | $21.38 | $23.44 | $26.92 |
Where California sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 22nd of 51
$145
MN $269UT $70.79
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.