How much rates vary
Facilitymedian $98 · 10th to 90th $24 to $1,778Professionalmedian $22 · 10th to 90th $14 to $100
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 $16.98 Median $19.05 Typical High $19.50 | Facility | None | $16.98 | $19.05 | $19.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $8.91 Median $10.96 Typical High $69.18 | Facility | TC · Technical part | $8.91 | $10.96 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.98 Typical High $19.50 | Professional | None (both parts) | $16.22 | $16.98 | $19.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.94 Typical High $9.12 | Professional | 26 · Professional part | $7.76 | $7.94 | $9.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $8.91 Typical High $10.96 | Professional | TC · Technical part | $8.32 | $8.91 | $10.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $15.85 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $15.85 | $30.20 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $21.88 Typical High $23.99 | Facility | None | $20.42 | $21.88 | $23.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $15.85 Median $44.67 Typical High $74.13 | Professional | None (both parts) | $15.85 | $44.67 | $74.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $20.89 Typical High $37.15 | Professional | 26 · Professional part | $7.76 | $20.89 | $37.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $23.44 Typical High $40.74 | Professional | TC · Technical part | $8.13 | $23.44 | $40.74 |
Blue Shield Setting Facility Modifier None Typical Low $57.54 Median $870.96 Typical High $1,905.46 | Facility | None | $57.54 | $870.96 | $1,905.46 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $13.18 Median $18.62 Typical High $25.12 | Professional | None (both parts) | $13.18 | $18.62 | $25.12 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.71 Typical High $10.72 | Professional | 26 · Professional part | $6.17 | $8.71 | $10.72 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $6.17 Median $8.71 Typical High $11.48 | Professional | TC · Technical part | $6.17 | $8.71 | $11.48 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $19.95 Median $22.91 Typical High $23.99 | Professional | None (both parts) | $19.95 | $22.91 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $30.20 Typical High $112.20 | Facility | None | $17.78 | $30.20 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.38 Median $20.42 Typical High $31.62 | Professional | None (both parts) | $17.38 | $20.42 | $31.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.77 Typical High $15.49 | Professional | 26 · Professional part | $8.32 | $9.77 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $10.47 Typical High $17.38 | Professional | TC · Technical part | $9.12 | $10.47 | $17.38 |
Contra Costa Health Setting Professional Modifier None Typical Low $15.49 Median $21.38 Typical High $28.84 | Professional | None | $15.49 | $21.38 | $28.84 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.55 Typical High $13.18 | Professional | 26 · Professional part | $7.24 | $9.55 | $13.18 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $12.02 Typical High $16.22 | Professional | TC · Technical part | $8.13 | $12.02 | $16.22 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $48.98 | Professional | None | $16.22 | $19.50 | $48.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $25.70 | Professional | 26 · Professional part | $7.94 | $9.55 | $25.70 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $11.75 Typical High $31.62 | Professional | TC · Technical part | $8.91 | $11.75 | $31.62 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $100.00 | $147.91 | $147.91 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $51.29 | $69.18 | $69.18 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $48.98 | $75.86 | $75.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.72 Median $11.48 Typical High $22.39 | Professional | None (both parts) | $10.72 | $11.48 | $22.39 |
Providence Setting Facility Modifier None Typical Low $16.98 Median $25.70 Typical High $38.90 | Facility | None | $16.98 | $25.70 | $38.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $17.38 Median $19.50 Typical High $32.36 | Professional | None (both parts) | $17.38 | $19.50 | $32.36 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.33 Typical High $14.45 | Professional | 26 · Professional part | $8.32 | $9.33 | $14.45 |
Providence Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $10.23 Typical High $16.98 | Professional | TC · Technical part | $9.12 | $10.23 | $16.98 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $53.70 | $53.70 | $53.70 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $27.54 | $27.54 | $27.54 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | TC · Technical part | $25.70 | $25.70 | $25.70 |
United Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $72.44 | Facility | None | $47.86 | $47.86 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $12.88 Median $19.05 Typical High $30.90 | Professional | None (both parts) | $12.88 | $19.05 | $30.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.33 Typical High $15.85 | Professional | 26 · Professional part | $6.46 | $9.33 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $6.17 Median $9.77 Typical High $15.49 | Professional | TC · Technical part | $6.17 | $9.77 | $15.49 |
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 $8.51 Median $9.77 Typical High $34.67 | Facility | 52 · Reduced service | $8.51 | $9.77 | $34.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.39 Median $3.89 Typical High $14.13 | Facility | 53 · Discontinued | $3.39 | $3.89 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.51 Typical High $9.77 | Professional | 52 · Reduced service | $8.13 | $8.51 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.39 Typical High $3.89 | Professional | 53 · Discontinued | $3.24 | $3.39 | $3.89 |
Where California sits
The same service costs 2.7 times more in Minnesota than in Florida. 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· 16th of 51
$22.39
MN $38.02FL $14.13
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.