How much rates vary
Facilitymedian $398 · 10th to 90th $112 to $912Professionalmedian $646 · 10th to 90th $302 to $2,138
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 $645.65 Median $676.08 Typical High $776.25 | Facility | None | $645.65 | $676.08 | $776.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $602.56 Median $724.44 Typical High $4,466.84 | Facility | TC · Technical part | $602.56 | $724.44 | $4,466.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $660.69 Typical High $831.76 | Professional | None (both parts) | $602.56 | $660.69 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $147.91 Typical High $199.53 | Professional | 26 · Professional part | $131.83 | $147.91 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $616.60 Typical High $758.58 | Professional | TC · Technical part | $562.34 | $616.60 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $199.53 Typical High $218.78 | Facility | None | $186.21 | $199.53 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $954.99 Typical High $1,230.27 | Professional | None (both parts) | $398.11 | $954.99 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $190.55 Typical High $323.59 | Professional | 26 · Professional part | $120.23 | $190.55 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $758.58 Typical High $1,000.00 | Professional | TC · Technical part | $281.84 | $758.58 | $1,000.00 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $371.54 Typical High $794.33 | Facility | None | $100.00 | $371.54 | $794.33 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $234.42 Median $338.84 Typical High $501.19 | Professional | None (both parts) | $234.42 | $338.84 | $501.19 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $169.82 Typical High $251.19 | Professional | 26 · Professional part | $114.82 | $169.82 | $251.19 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $173.78 Typical High $263.03 | Professional | TC · Technical part | $117.49 | $173.78 | $263.03 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $398.11 Typical High $524.81 | Professional | None (both parts) | $295.12 | $398.11 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $588.84 Typical High $2,089.30 | Facility | None | $275.42 | $588.84 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $323.59 Typical High $524.81 | Professional | None (both parts) | $281.84 | $323.59 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $151.36 Typical High $257.04 | Professional | 26 · Professional part | $141.25 | $151.36 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $165.96 Typical High $281.84 | Professional | TC · Technical part | $147.91 | $165.96 | $281.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $234.42 | Professional | None | $194.98 | $194.98 | $234.42 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $158.49 Typical High $194.98 | Professional | 26 · Professional part | $144.54 | $158.49 | $194.98 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $57.54 | Professional | TC · Technical part | $47.86 | $47.86 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $316.23 Typical High $691.83 | Professional | None | $263.03 | $316.23 | $691.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $173.78 Typical High $389.05 | Professional | 26 · Professional part | $125.89 | $173.78 | $389.05 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,570.40 Typical High $2,570.40 | Professional | None (both parts) | $2,137.96 | $2,570.40 | $2,570.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,023.29 Median $1,023.29 Typical High $1,148.15 | Professional | 26 · Professional part | $1,023.29 | $1,023.29 | $1,148.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $1,548.82 Typical High $2,041.74 | Professional | TC · Technical part | $1,548.82 | $1,548.82 | $2,041.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
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 $316.23 Median $645.65 Typical High $1,096.48 | Facility | None | $316.23 | $645.65 | $1,096.48 |
Providence Setting Professional Modifier None (both parts) Typical Low $288.40 Median $316.23 Typical High $549.54 | Professional | None (both parts) | $288.40 | $316.23 | $549.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $151.36 Typical High $223.87 | Professional | 26 · Professional part | $141.25 | $151.36 | $223.87 |
Providence Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $162.18 Typical High $251.19 | Professional | TC · Technical part | $147.91 | $162.18 | $251.19 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 26 · Professional part | $426.58 | $426.58 | $426.58 |
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 $316.23 Median $501.19 Typical High $1,122.02 | Professional | None (both parts) | $316.23 | $501.19 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $138.04 Typical High $239.88 | Professional | 26 · Professional part | $100.00 | $138.04 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $389.05 Typical High $891.25 | Professional | TC · Technical part | $177.83 | $389.05 | $891.25 |
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 $323.59 Median $389.05 Typical High $2,238.72 | Facility | 52 · Reduced service | $323.59 | $389.05 | $2,238.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $128.82 Median $154.88 Typical High $891.25 | Facility | 53 · Discontinued | $128.82 | $154.88 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $323.59 Typical High $389.05 | Professional | 52 · Reduced service | $288.40 | $323.59 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $128.82 Typical High $154.88 | Professional | 53 · Discontinued | $114.82 | $128.82 | $154.88 |
Where California sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 11th of 51
$646
AK $1,000WA $324
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.