How much rates vary
Facilitymedian $912 · 10th to 90th $195 to $1,820Professionalmedian $269 · 10th to 90th $204 to $1,445
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 $213.80 Median $251.19 Typical High $371.54 | Facility | None | $213.80 | $251.19 | $371.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $204.17 Typical High $1,148.15 | Facility | TC · Technical part | $151.36 | $204.17 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $234.42 Typical High $407.38 | Professional | None (both parts) | $213.80 | $234.42 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $97.72 | Professional | 26 · Professional part | $63.10 | $69.18 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $173.78 Typical High $302.00 | Professional | TC · Technical part | $151.36 | $173.78 | $302.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $239.88 Typical High $251.19 | Professional | None (both parts) | $213.80 | $239.88 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $125.89 | Professional | 26 · Professional part | $54.95 | $54.95 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $91.20 Typical High $100.00 | Facility | None | $85.11 | $91.20 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $575.44 | Professional | None (both parts) | $229.09 | $269.15 | $575.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $87.10 Typical High $165.96 | Professional | 26 · Professional part | $61.66 | $87.10 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $186.21 Typical High $407.38 | Professional | TC · Technical part | $169.82 | $186.21 | $407.38 |
Blue Shield Setting Facility Modifier None Typical Low $338.84 Median $1,258.93 Typical High $1,949.84 | Facility | None | $338.84 | $1,258.93 | $1,949.84 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $389.05 | Professional | None (both parts) | $181.97 | $263.03 | $389.05 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $75.86 | $112.20 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $186.21 Typical High $275.42 | Professional | TC · Technical part | $128.82 | $186.21 | $275.42 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $331.13 Typical High $398.11 | Professional | None (both parts) | $239.88 | $331.13 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $588.84 Typical High $2,089.30 | Facility | None | $251.19 | $588.84 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $257.04 Typical High $457.09 | Professional | None (both parts) | $223.87 | $257.04 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $63.10 | $69.18 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $338.84 | Professional | TC · Technical part | $154.88 | $190.55 | $338.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $151.36 Median $323.59 Typical High $354.81 | Professional | None | $151.36 | $323.59 | $354.81 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $95.50 | Professional | 26 · Professional part | $54.95 | $77.62 | $95.50 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $245.47 Typical High $269.15 | Professional | TC · Technical part | $97.72 | $245.47 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $275.42 Typical High $562.34 | Professional | None | $229.09 | $275.42 | $562.34 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $186.21 | Professional | 26 · Professional part | $61.66 | $83.18 | $186.21 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $263.03 Typical High $602.56 | Professional | TC · Technical part | $181.97 | $263.03 | $602.56 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,905.46 Typical High $1,905.46 | Professional | None (both parts) | $1,445.44 | $1,905.46 | $1,905.46 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $501.19 Median $501.19 Typical High $512.86 | Professional | 26 · Professional part | $501.19 | $501.19 | $512.86 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,412.54 Typical High $1,412.54 | Professional | TC · Technical part | $1,047.13 | $1,412.54 | $1,412.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $87.10 Median $213.80 Typical High $302.00 | Professional | None (both parts) | $87.10 | $213.80 | $302.00 |
Optum Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None (both parts) | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $213.80 Median $331.13 Typical High $588.84 | Facility | None | $213.80 | $331.13 | $588.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $223.87 Median $257.04 Typical High $446.68 | Professional | None (both parts) | $223.87 | $257.04 | $446.68 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $112.20 | Professional | 26 · Professional part | $63.10 | $69.18 | $112.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $154.88 | $190.55 | $316.23 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $776.25 | $776.25 | $776.25 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $208.93 | $208.93 | $208.93 |
Sutter Health Plus 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 |
United Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,380.38 | Facility | None | $891.25 | $891.25 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $234.42 Typical High $436.52 | Professional | None (both parts) | $177.83 | $234.42 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $64.57 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $316.23 | Professional | TC · Technical part | $128.82 | $169.82 | $316.23 |
5 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 $107.15 Median $125.89 Typical High $562.34 | Facility | 52 · Reduced service | $107.15 | $125.89 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $51.29 Typical High $229.09 | Facility | 53 · Discontinued | $42.66 | $51.29 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $107.15 Typical High $125.89 | Professional | 52 · Reduced service | $102.33 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $42.66 Typical High $51.29 | Professional | 53 · Discontinued | $40.74 | $42.66 | $51.29 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $213.80 Median $213.80 Typical High $229.09 | Professional | 59 · Distinct service | $213.80 | $213.80 | $229.09 |
Where California sits
The same service costs 3.5 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· 28th of 51
$269
AK $562UT $158
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.