How much rates vary
Facilitymedian $69 · 10th to 90th $44 to $123Professionalmedian $78 · 10th to 90th $58 to $457
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 $58.88 Median $67.61 Typical High $69.18 | Facility | None | $58.88 | $67.61 | $69.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $27.54 Typical High $177.83 | Facility | TC · Technical part | $22.91 | $27.54 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $67.61 Typical High $117.49 | Professional | None (both parts) | $58.88 | $67.61 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $57.54 | Professional | 26 · Professional part | $37.15 | $40.74 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $25.12 Typical High $48.98 | Professional | TC · Technical part | $22.39 | $25.12 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $43.65 Typical High $48.98 | Facility | None | $41.69 | $43.65 | $48.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $239.88 | Professional | None (both parts) | $83.18 | $107.15 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $64.57 Typical High $141.25 | Professional | 26 · Professional part | $34.67 | $64.57 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $42.66 Typical High $100.00 | Professional | TC · Technical part | $20.42 | $42.66 | $100.00 |
Blue Shield Setting Facility Modifier None Typical Low $53.70 Median $79.43 Typical High $134.90 | Facility | None | $53.70 | $79.43 | $134.90 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $44.67 Median $63.10 Typical High $85.11 | Professional | None (both parts) | $44.67 | $63.10 | $85.11 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $43.65 | Professional | 26 · Professional part | $27.54 | $39.81 | $43.65 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $23.44 Typical High $29.51 | Professional | TC · Technical part | $16.22 | $23.44 | $29.51 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $81.28 Typical High $100.00 | Professional | None (both parts) | $75.86 | $81.28 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $72.44 Typical High $128.82 | Professional | None (both parts) | $61.66 | $72.44 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $69.18 | Professional | 26 · Professional part | $38.90 | $44.67 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $27.54 Typical High $58.88 | Professional | TC · Technical part | $22.91 | $27.54 | $58.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $53.70 Median $89.13 Typical High $120.23 | Professional | None | $53.70 | $89.13 | $120.23 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $33.88 | $41.69 | $56.23 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $47.86 Typical High $64.57 | Professional | TC · Technical part | $20.42 | $47.86 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $81.28 Typical High $213.80 | Professional | None | $67.61 | $81.28 | $213.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $109.65 | Professional | 26 · Professional part | $33.88 | $41.69 | $109.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $46.77 Typical High $128.82 | Professional | TC · Technical part | $35.48 | $46.77 | $128.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $457.09 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $457.09 | $588.84 | $588.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $229.09 | $295.12 | $295.12 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $229.09 | $302.00 | $302.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $46.77 Median $50.12 Typical High $95.50 | Professional | None (both parts) | $46.77 | $50.12 | $95.50 |
Providence Setting Facility Modifier None Typical Low $58.88 Median $89.13 Typical High $125.89 | Facility | None | $58.88 | $89.13 | $125.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $61.66 Median $72.44 Typical High $134.90 | Professional | None (both parts) | $61.66 | $72.44 | $134.90 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $42.66 Typical High $64.57 | Professional | 26 · Professional part | $38.90 | $42.66 | $64.57 |
Providence Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $27.54 Typical High $58.88 | Professional | TC · Technical part | $22.91 | $27.54 | $58.88 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $97.72 | $97.72 | $97.72 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $93.33 | Facility | None | $61.66 | $61.66 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $72.44 Typical High $125.89 | Professional | None (both parts) | $50.12 | $72.44 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $42.66 Typical High $69.18 | Professional | 26 · Professional part | $28.84 | $42.66 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $63.10 | Professional | TC · Technical part | $21.38 | $26.92 | $63.10 |
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 $28.84 Median $34.67 Typical High $89.13 | Facility | 52 · Reduced service | $28.84 | $34.67 | $89.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $13.80 Typical High $35.48 | Facility | 53 · Discontinued | $11.48 | $13.80 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $29.51 Typical High $34.67 | Professional | 52 · Reduced service | $28.84 | $29.51 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.02 Typical High $13.80 | Professional | 53 · Discontinued | $11.48 | $12.02 | $13.80 |
Where California sits
The same service costs 3.3 times more in Alaska 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· 25th of 51
$77.62
AK $162UT $48.98
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.