How much rates vary
Facilitymedian $575 · 10th to 90th $100 to $1,072Professionalmedian $170 · 10th to 90th $129 to $1,023
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 $138.04 Median $147.91 Typical High $162.18 | Facility | None | $138.04 | $147.91 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $758.58 | Facility | TC · Technical part | $102.33 | $123.03 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $269.15 | Professional | None (both parts) | $138.04 | $162.18 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $56.23 | Professional | 26 · Professional part | $36.31 | $39.81 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $208.93 | Professional | TC · Technical part | $102.33 | $120.23 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $446.68 | Professional | None (both parts) | $123.03 | $123.03 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $52.48 Typical High $57.54 | Facility | None | $48.98 | $52.48 | $57.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $354.81 | Professional | None (both parts) | $144.54 | $169.82 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $97.72 | Professional | 26 · Professional part | $35.48 | $50.12 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $120.23 Typical High $263.03 | Professional | TC · Technical part | $91.20 | $120.23 | $263.03 |
Blue Shield Setting Facility Modifier None Typical Low $194.98 Median $660.69 Typical High $1,122.02 | Facility | None | $194.98 | $660.69 | $1,122.02 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $251.19 | Professional | None (both parts) | $117.49 | $165.96 | $251.19 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $64.57 | Professional | 26 · Professional part | $30.20 | $43.65 | $64.57 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $181.97 | Professional | TC · Technical part | $87.10 | $123.03 | $181.97 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $154.88 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $588.84 Typical High $2,089.30 | Facility | None | $181.97 | $588.84 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $128.82 | $169.82 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $70.79 | Professional | 26 · Professional part | $36.31 | $39.81 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $239.88 | Professional | TC · Technical part | $93.33 | $131.83 | $239.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $83.18 Median $229.09 Typical High $251.19 | Professional | None | $83.18 | $229.09 | $251.19 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $44.67 Typical High $54.95 | Professional | 26 · Professional part | $33.88 | $44.67 | $54.95 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $181.97 Typical High $199.53 | Professional | TC · Technical part | $48.98 | $181.97 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $194.98 Typical High $467.74 | Professional | None | $158.49 | $194.98 | $467.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $109.65 | Professional | 26 · Professional part | $35.48 | $48.98 | $109.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $194.98 Typical High $446.68 | Professional | TC · Technical part | $134.90 | $194.98 | $446.68 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $1,023.29 | $1,318.26 | $1,318.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $281.84 | $288.40 | $288.40 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $794.33 | $1,047.13 | $1,047.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $50.12 | $162.18 | $213.80 |
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 $138.04 Median $194.98 Typical High $562.34 | Facility | None | $138.04 | $194.98 | $562.34 |
Providence Setting Professional Modifier None (both parts) Typical Low $128.82 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $128.82 | $169.82 | $309.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $36.31 | $39.81 | $63.10 |
Providence Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $128.82 Typical High $229.09 | Professional | TC · Technical part | $91.20 | $128.82 | $229.09 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
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 $416.87 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $416.87 | $416.87 | $416.87 |
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 $117.49 Median $151.36 Typical High $295.12 | Professional | None (both parts) | $117.49 | $151.36 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $28.18 | $37.15 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $114.82 Typical High $234.42 | Professional | TC · Technical part | $87.10 | $114.82 | $234.42 |
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 $69.18 Median $81.28 Typical High $380.19 | Facility | 52 · Reduced service | $69.18 | $81.28 | $380.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $27.54 Median $32.36 Typical High $151.36 | Facility | 53 · Discontinued | $27.54 | $32.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | 52 · Reduced service | $69.18 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $32.36 | Professional | 53 · Discontinued | $27.54 | $27.54 | $32.36 |
Where California sits
The same service costs 3.0 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· 36th of 51
$170
AK $380UT $129
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.