How much rates vary
Facilitymedian $219 · 10th to 90th $78 to $355Professionalmedian $251 · 10th to 90th $186 to $1,259
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 $186.21 Median $199.53 Typical High $213.80 | Facility | None | $186.21 | $199.53 | $213.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $724.44 | Facility | TC · Technical part | $97.72 | $117.49 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $199.53 Typical High $229.09 | Professional | None (both parts) | $186.21 | $199.53 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $97.72 Typical High $138.04 | Professional | 26 · Professional part | $87.10 | $97.72 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $102.33 Typical High $125.89 | Professional | TC · Technical part | $97.72 | $102.33 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $138.04 | Facility | None | $117.49 | $125.89 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $245.47 Typical High $478.63 | Professional | None (both parts) | $194.98 | $245.47 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $120.23 Typical High $213.80 | Professional | 26 · Professional part | $83.18 | $120.23 | $213.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $125.89 Typical High $302.00 | Professional | TC · Technical part | $123.03 | $125.89 | $302.00 |
Blue Shield Setting Facility Modifier None Typical Low $72.44 Median $223.87 Typical High $354.81 | Facility | None | $72.44 | $223.87 | $354.81 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $194.98 Median $281.84 Typical High $416.87 | Professional | None (both parts) | $194.98 | $281.84 | $416.87 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $112.20 Typical High $165.96 | Professional | 26 · Professional part | $75.86 | $112.20 | $165.96 |
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 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $190.55 | $234.42 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $109.65 Typical High $173.78 | Professional | 26 · Professional part | $93.33 | $109.65 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $204.17 | Professional | TC · Technical part | $97.72 | $120.23 | $204.17 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $109.65 Typical High $134.90 | Professional | 26 · Professional part | $100.00 | $109.65 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $275.42 Typical High $512.86 | Professional | None | $229.09 | $275.42 | $512.86 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $263.03 | Professional | 26 · Professional part | $87.10 | $120.23 | $263.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $1,479.11 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $1,479.11 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $707.95 Typical High $707.95 | Professional | 26 · Professional part | $549.54 | $707.95 | $707.95 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,096.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
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 $186.21 Median $288.40 Typical High $457.09 | Facility | None | $186.21 | $288.40 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $407.38 | Professional | None (both parts) | $190.55 | $234.42 | $407.38 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $107.15 Typical High $151.36 | Professional | 26 · Professional part | $93.33 | $107.15 | $151.36 |
Providence Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $186.21 | Professional | TC · Technical part | $97.72 | $117.49 | $186.21 |
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 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $269.15 Typical High $489.78 | Professional | None (both parts) | $199.53 | $269.15 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $165.96 | Professional | 26 · Professional part | $70.79 | $93.33 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $173.78 Typical High $316.23 | Professional | TC · Technical part | $131.83 | $173.78 | $316.23 |
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 $93.33 Median $104.71 Typical High $363.08 | Facility | 52 · Reduced service | $93.33 | $104.71 | $363.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $42.66 Typical High $144.54 | Facility | 53 · Discontinued | $37.15 | $42.66 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $93.33 Typical High $104.71 | Professional | 52 · Reduced service | $85.11 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $37.15 Typical High $42.66 | Professional | 53 · Discontinued | $33.88 | $37.15 | $42.66 |
Where California sits
The same service costs 3.1 times more in Alaska than in New York. 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· 35th of 51
$251
AK $537NY $174
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.