How much rates vary
Facilitymedian $347 · 10th to 90th $62 to $3,311Professionalmedian $269 · 10th to 90th $155 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 $199.53 Median $213.80 Typical High $239.88 | Facility | None | $199.53 | $213.80 | $239.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $194.98 Typical High $1,202.26 | Facility | TC · Technical part | $162.18 | $194.98 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $199.53 Typical High $239.88 | Professional | None (both parts) | $144.54 | $199.53 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $37.15 Typical High $40.74 | Professional | 26 · Professional part | $35.48 | $37.15 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $162.18 Typical High $194.98 | Professional | TC · Technical part | $109.65 | $162.18 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $74.13 Typical High $309.03 | Facility | None | $58.88 | $74.13 | $309.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $302.00 Typical High $616.60 | Professional | None (both parts) | $165.96 | $302.00 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $60.26 Typical High $154.88 | Professional | 26 · Professional part | $33.11 | $60.26 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $239.88 Typical High $457.09 | Professional | TC · Technical part | $131.83 | $239.88 | $457.09 |
Blue Shield Setting Facility Modifier None Typical Low $275.42 Median $2,089.30 Typical High $3,801.89 | Facility | None | $275.42 | $2,089.30 | $3,801.89 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $323.59 | Professional | None (both parts) | $165.96 | $234.42 | $323.59 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $37.15 Typical High $50.12 | Professional | 26 · Professional part | $26.30 | $37.15 | $50.12 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $144.54 Typical High $199.53 | Professional | TC · Technical part | $102.33 | $144.54 | $199.53 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $204.17 Typical High $346.74 | Professional | None (both parts) | $169.82 | $204.17 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $17,782.79 Typical High $23,988.33 | Facility | None | $162.18 | $17,782.79 | $23,988.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $239.88 Typical High $467.74 | Professional | None (both parts) | $165.96 | $239.88 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $37.15 | $41.69 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $181.97 Typical High $371.54 | Professional | TC · Technical part | $131.83 | $181.97 | $371.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $181.97 Median $199.53 Typical High $281.84 | Professional | None | $181.97 | $199.53 | $281.84 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $48.98 Typical High $194.98 | Professional | 26 · Professional part | $44.67 | $48.98 | $194.98 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $138.04 Typical High $186.21 | Professional | TC · Technical part | $69.18 | $138.04 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $380.19 | Professional | None | $131.83 | $165.96 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $117.49 | Professional | 26 · Professional part | $36.31 | $44.67 | $117.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $371.54 | Professional | TC · Technical part | $102.33 | $134.90 | $371.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $1,819.70 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 26 · Professional part | $1,258.93 | $1,258.93 | $1,258.93 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $1,621.81 | $1,621.81 | $1,621.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $52.48 | $120.23 | $169.82 |
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 $194.98 Median $302.00 Typical High $776.25 | Facility | None | $194.98 | $302.00 | $776.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $165.96 Median $239.88 Typical High $436.52 | Professional | None (both parts) | $165.96 | $239.88 | $436.52 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $66.07 | Professional | 26 · Professional part | $37.15 | $40.74 | $66.07 |
Providence Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $186.21 Typical High $371.54 | Professional | TC · Technical part | $131.83 | $186.21 | $371.54 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $120.23 | $120.23 | $120.23 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $354.81 | $354.81 | $354.81 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $323.59 | Facility | None | $213.80 | $213.80 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $194.98 Typical High $323.59 | Professional | None (both parts) | $107.15 | $194.98 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $28.18 | $40.74 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $151.36 Typical High $257.04 | Professional | TC · Technical part | $79.43 | $151.36 | $257.04 |
8 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 $100.00 Median $117.49 Typical High $602.56 | Facility | 52 · Reduced service | $100.00 | $117.49 | $602.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $47.86 Typical High $245.47 | Facility | 53 · Discontinued | $39.81 | $47.86 | $245.47 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $30.20 Median $35.48 Typical High $181.97 | Facility | 55 · Aftercare only | $30.20 | $35.48 | $181.97 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.95 Median $23.99 Typical High $120.23 | Facility | 56 · Pre-op care only | $19.95 | $23.99 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $100.00 Typical High $117.49 | Professional | 52 · Reduced service | $72.44 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $39.81 Typical High $47.86 | Professional | 53 · Discontinued | $28.84 | $39.81 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $30.20 Typical High $35.48 | Professional | 55 · Aftercare only | $21.38 | $30.20 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $19.95 Typical High $23.99 | Professional | 56 · Pre-op care only | $14.45 | $19.95 | $23.99 |
Where California sits
The same service costs 3.2 times more in Kansas 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· 11th of 51
$269
KS $324UT $100
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.