How much rates vary
Facilitymedian $891 · 10th to 90th $95 to $1,820Professionalmedian $355 · 10th to 90th $245 to $1,514
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 $295.12 Median $316.23 Typical High $346.74 | Facility | None | $295.12 | $316.23 | $346.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $281.84 Typical High $1,737.80 | Facility | TC · Technical part | $234.42 | $281.84 | $1,737.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $316.23 Typical High $416.87 | Professional | None (both parts) | $263.03 | $316.23 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $141.25 | Professional | 26 · Professional part | $58.88 | $66.07 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $245.47 Typical High $302.00 | Professional | TC · Technical part | $169.82 | $245.47 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $204.17 | Professional | 26 · Professional part | $104.71 | $104.71 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $87.10 Typical High $95.50 | Facility | None | $81.28 | $87.10 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $354.81 Typical High $660.69 | Professional | None (both parts) | $263.03 | $354.81 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $83.18 Typical High $194.98 | Professional | 26 · Professional part | $72.44 | $83.18 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $275.42 Typical High $467.74 | Professional | TC · Technical part | $208.93 | $275.42 | $467.74 |
Blue Shield Setting Facility Modifier None Typical Low $218.78 Median $1,230.27 Typical High $1,949.84 | Facility | None | $218.78 | $1,230.27 | $1,949.84 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $251.19 Median $354.81 Typical High $512.86 | Professional | None (both parts) | $251.19 | $354.81 | $512.86 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $50.12 | $72.44 | $109.65 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $281.84 Typical High $407.38 | Professional | TC · Technical part | $199.53 | $281.84 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $316.23 Typical High $524.81 | Professional | None (both parts) | $251.19 | $316.23 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $64.57 | $97.72 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $213.80 Typical High $380.19 | Professional | TC · Technical part | $162.18 | $213.80 | $380.19 |
Contra Costa Health Setting Professional Modifier None Typical Low $302.00 Median $331.13 Typical High $407.38 | Professional | None | $302.00 | $331.13 | $407.38 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $112.20 Typical High $134.90 | Professional | 26 · Professional part | $100.00 | $112.20 | $134.90 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $218.78 Typical High $269.15 | Professional | TC · Technical part | $199.53 | $218.78 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $281.84 Typical High $575.44 | Professional | None | $234.42 | $281.84 | $575.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $120.23 Typical High $269.15 | Professional | 26 · Professional part | $89.13 | $120.23 | $269.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $234.42 Typical High $537.03 | Professional | TC · Technical part | $165.96 | $234.42 | $537.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,995.26 Typical High $1,995.26 | Professional | None (both parts) | $1,513.56 | $1,995.26 | $1,995.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $562.34 Median $741.31 Typical High $741.31 | Professional | 26 · Professional part | $562.34 | $741.31 | $741.31 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,258.93 Typical High $1,258.93 | Professional | TC · Technical part | $1,174.90 | $1,258.93 | $1,258.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $125.89 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $125.89 | $186.21 | $316.23 |
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 $288.40 Median $398.11 Typical High $524.81 | Facility | None | $288.40 | $398.11 | $524.81 |
Providence Setting Professional Modifier None (both parts) Typical Low $251.19 Median $316.23 Typical High $489.78 | Professional | None (both parts) | $251.19 | $316.23 | $489.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $93.33 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $93.33 | $141.25 |
Providence Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $213.80 Typical High $316.23 | Professional | TC · Technical part | $162.18 | $213.80 | $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 $295.12 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $295.12 | $295.12 | $295.12 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | TC · Technical part | $489.78 | $489.78 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $251.19 Typical High $436.52 | Professional | None (both parts) | $181.97 | $251.19 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $158.49 | Professional | 26 · Professional part | $60.26 | $83.18 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $177.83 Typical High $302.00 | Professional | TC · Technical part | $109.65 | $177.83 | $302.00 |
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 $147.91 Median $173.78 Typical High $870.96 | Facility | 52 · Reduced service | $147.91 | $173.78 | $870.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $58.88 Median $69.18 Typical High $346.74 | Facility | 53 · Discontinued | $58.88 | $69.18 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $147.91 Typical High $173.78 | Professional | 52 · Reduced service | $134.90 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $58.88 Typical High $69.18 | Professional | 53 · Discontinued | $53.70 | $58.88 | $69.18 |
Where California sits
The same service costs 4.7 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· 16th of 51
$355
AK $589UT $126
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.