How much rates vary
Facilitymedian $200 · 10th to 90th $35 to $525Professionalmedian $54 · 10th to 90th $31 to $178
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 $35.48 Median $38.02 Typical High $41.69 | Facility | None | $35.48 | $38.02 | $41.69 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $28.18 Typical High $173.78 | Facility | TC · Technical part | $23.44 | $28.18 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.02 Typical High $41.69 | Professional | None (both parts) | $32.36 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.18 Typical High $13.18 | Professional | 26 · Professional part | $11.75 | $13.18 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $24.55 Typical High $28.18 | Professional | TC · Technical part | $20.89 | $24.55 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $20.42 Typical High $22.39 | Facility | None | $19.05 | $20.42 | $22.39 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $29.51 Median $53.70 Typical High $141.25 | Professional | None (both parts) | $29.51 | $53.70 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $19.50 Typical High $52.48 | Professional | 26 · Professional part | $10.96 | $19.50 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $34.67 Typical High $91.20 | Professional | TC · Technical part | $18.62 | $34.67 | $91.20 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $323.59 Typical High $575.44 | Facility | None | $48.98 | $323.59 | $575.44 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $33.88 Median $47.86 Typical High $66.07 | Professional | None (both parts) | $33.88 | $47.86 | $66.07 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.98 Typical High $22.91 | Professional | 26 · Professional part | $12.02 | $16.98 | $22.91 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $30.90 Typical High $42.66 | Professional | TC · Technical part | $21.38 | $30.90 | $42.66 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $40.74 Typical High $48.98 | Professional | None (both parts) | $37.15 | $40.74 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $69.18 Typical High $229.09 | Facility | None | $36.31 | $69.18 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $48.98 Typical High $79.43 | Professional | None (both parts) | $32.36 | $48.98 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.49 Typical High $22.91 | Professional | 26 · Professional part | $12.30 | $13.49 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $29.51 Typical High $57.54 | Professional | TC · Technical part | $19.50 | $29.51 | $57.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $26.92 Median $43.65 Typical High $58.88 | Professional | None | $26.92 | $43.65 | $58.88 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.45 Typical High $19.50 | Professional | 26 · Professional part | $10.47 | $14.45 | $19.50 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $28.84 Typical High $38.90 | Professional | TC · Technical part | $16.60 | $28.84 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $38.90 Typical High $112.20 | Professional | None | $31.62 | $38.90 | $112.20 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.45 Typical High $38.90 | Professional | 26 · Professional part | $11.75 | $14.45 | $38.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.18 Typical High $77.62 | Professional | TC · Technical part | $21.38 | $28.18 | $77.62 |
Lucent Health 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 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $234.42 | $234.42 | $234.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $281.84 | $281.84 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.78 Median $25.70 Typical High $43.65 | Professional | None (both parts) | $17.78 | $25.70 | $43.65 |
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 $35.48 Median $58.88 Typical High $117.49 | Facility | None | $35.48 | $58.88 | $117.49 |
Providence Setting Professional Modifier None (both parts) Typical Low $32.36 Median $48.98 Typical High $79.43 | Professional | None (both parts) | $32.36 | $48.98 | $79.43 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.49 Typical High $21.88 | Professional | 26 · Professional part | $12.30 | $13.49 | $21.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $29.51 Typical High $54.95 | Professional | TC · Technical part | $18.62 | $29.51 | $54.95 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $58.88 | $58.88 | $58.88 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $147.91 | Facility | None | $97.72 | $97.72 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $22.91 Median $43.65 Typical High $64.57 | Professional | None (both parts) | $22.91 | $43.65 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $13.80 Typical High $23.99 | Professional | 26 · Professional part | $9.77 | $13.80 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $28.18 Typical High $43.65 | Professional | TC · Technical part | $13.49 | $28.18 | $43.65 |
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 $17.78 Median $20.89 Typical High $87.10 | Facility | 52 · Reduced service | $17.78 | $20.89 | $87.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.08 Median $8.32 Typical High $35.48 | Facility | 53 · Discontinued | $7.08 | $8.32 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $17.78 Typical High $20.89 | Professional | 52 · Reduced service | $16.22 | $17.78 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.08 Typical High $8.32 | Professional | 53 · Discontinued | $6.46 | $7.08 | $8.32 |
Where California sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 14th of 51
$53.70
MN $74.13AL $28.18
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.