How much rates vary
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 $239.88 Median $338.84 Typical High $1,862.09 | Facility | None | $239.88 | $338.84 | $1,862.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $114.82 | Facility | 26 · Professional part | $64.57 | $85.11 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $251.19 Typical High $1,258.93 | Facility | TC · Technical part | $173.78 | $251.19 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $223.87 | $263.03 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $70.79 Typical High $109.65 | Professional | 26 · Professional part | $64.57 | $70.79 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $181.97 Typical High $309.03 | Professional | TC · Technical part | $151.36 | $181.97 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $177.83 | $190.55 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $72.44 | Professional | 26 · Professional part | $57.54 | $64.57 | $72.44 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $134.90 | $134.90 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $95.50 Typical High $104.71 | Facility | None | $89.13 | $95.50 | $104.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $316.23 Typical High $676.08 | Professional | None (both parts) | $204.17 | $316.23 | $676.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $186.21 | Professional | 26 · Professional part | $69.18 | $91.20 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $223.87 Typical High $489.78 | Professional | TC · Technical part | $138.04 | $223.87 | $489.78 |
Blue Shield Setting Facility Modifier None Typical Low $407.38 Median $912.01 Typical High $1,659.59 | Facility | None | $407.38 | $912.01 | $1,659.59 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $426.58 | Professional | None (both parts) | $204.17 | $288.40 | $426.58 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $114.82 | Professional | 26 · Professional part | $53.70 | $77.62 | $114.82 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $208.93 Typical High $309.03 | Professional | TC · Technical part | $147.91 | $208.93 | $309.03 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $288.40 Typical High $363.08 | Professional | None (both parts) | $239.88 | $288.40 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $588.84 Typical High $2,089.30 | Facility | None | $223.87 | $588.84 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $234.42 | $288.40 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $134.90 | Professional | 26 · Professional part | $64.57 | $79.43 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $213.80 Typical High $354.81 | Professional | TC · Technical part | $162.18 | $213.80 | $354.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $239.88 Median $288.40 Typical High $354.81 | Professional | None | $239.88 | $288.40 | $354.81 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $87.10 Typical High $107.15 | Professional | 26 · Professional part | $61.66 | $87.10 | $107.15 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $199.53 Typical High $245.47 | Professional | TC · Technical part | $177.83 | $199.53 | $245.47 |
HealthNet Setting Professional Modifier None (both parts) Typical Low $263.03 Median $446.68 Typical High $1,122.02 | Professional | None (both parts) | $263.03 | $446.68 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $245.47 Typical High $501.19 | Professional | None | $204.17 | $245.47 | $501.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $93.33 Typical High $208.93 | Professional | 26 · Professional part | $69.18 | $93.33 | $208.93 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $478.63 | Professional | TC · Technical part | $147.91 | $213.80 | $478.63 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None (both parts) | $3,981.07 | $3,981.07 | $3,981.07 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $562.34 Typical High $562.34 | Professional | 26 · Professional part | $436.52 | $562.34 | $562.34 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,122.02 Typical High $1,122.02 | Professional | TC · Technical part | $1,023.29 | $1,122.02 | $1,122.02 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $173.78 Typical High $269.15 | Professional | None (both parts) | $97.72 | $173.78 | $269.15 |
Providence Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $660.69 | Facility | None | $239.88 | $363.08 | $660.69 |
Providence Setting Professional Modifier None (both parts) Typical Low $234.42 Median $288.40 Typical High $467.74 | Professional | None (both parts) | $234.42 | $288.40 | $467.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $117.49 | Professional | 26 · Professional part | $64.57 | $75.86 | $117.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $204.17 Typical High $309.03 | Professional | TC · Technical part | $169.82 | $204.17 | $309.03 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $691.83 | $691.83 | $691.83 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $239.88 | $239.88 | $239.88 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $457.09 | $457.09 | $457.09 |
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 $158.49 Median $229.09 Typical High $398.11 | Professional | None (both parts) | $158.49 | $229.09 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $56.23 | $72.44 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $154.88 Typical High $275.42 | Professional | TC · Technical part | $102.33 | $154.88 | $275.42 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $177.83 Median $204.17 Typical High $213.80 | Professional | 59 · Distinct service | $177.83 | $204.17 | $213.80 |
Ambetter Setting Professional Modifier 76 · Repeat, same provider Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 76 · Repeat, same provider | $208.93 | $208.93 | $208.93 |
Where California sits
The same service costs 6.3 times more in Minnesota 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· 19th of 51
$295
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.