How much rates vary
Facilitymedian $257 · 10th to 90th $30 to $525Professionalmedian $37 · 10th to 90th $25 to $110
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 $30.20 Median $35.48 Typical High $67.61 | Facility | None | $30.20 | $35.48 | $67.61 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $31.62 Typical High $165.96 | Facility | TC · Technical part | $22.39 | $31.62 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $32.36 Typical High $53.70 | Professional | None (both parts) | $28.18 | $32.36 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.13 Typical High $11.75 | Professional | 26 · Professional part | $7.24 | $8.13 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.99 Typical High $41.69 | Professional | TC · Technical part | $20.89 | $23.99 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.42 Median $26.30 Typical High $46.77 | Professional | None (both parts) | $20.42 | $26.30 | $46.77 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.41 Typical High $8.32 | Professional | 26 · Professional part | $6.31 | $7.41 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $11.22 Typical High $12.30 | Facility | None | $10.47 | $11.22 | $12.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.99 Median $39.81 Typical High $93.33 | Professional | None (both parts) | $23.99 | $39.81 | $93.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.72 Typical High $20.42 | Professional | 26 · Professional part | $7.24 | $10.72 | $20.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $29.51 Typical High $85.11 | Professional | TC · Technical part | $28.84 | $29.51 | $85.11 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $363.08 Typical High $575.44 | Facility | None | $95.50 | $363.08 | $575.44 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $25.12 Median $36.31 Typical High $53.70 | Professional | None (both parts) | $25.12 | $36.31 | $53.70 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.91 Typical High $13.18 | Professional | 26 · Professional part | $6.17 | $8.91 | $13.18 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $27.54 Typical High $39.81 | Professional | TC · Technical part | $19.05 | $27.54 | $39.81 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.02 Typical High $100.00 | Professional | None (both parts) | $30.90 | $38.02 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $39.81 Typical High $70.79 | Professional | None (both parts) | $28.18 | $39.81 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $14.45 | Professional | 26 · Professional part | $7.41 | $8.51 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $30.90 Typical High $57.54 | Professional | TC · Technical part | $20.89 | $30.90 | $57.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $33.88 Median $37.15 Typical High $46.77 | Professional | None | $33.88 | $37.15 | $46.77 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.33 Typical High $18.62 | Professional | 26 · Professional part | $8.51 | $9.33 | $18.62 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.18 Typical High $34.67 | Professional | TC · Technical part | $23.44 | $28.18 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.30 Median $31.62 Typical High $87.10 | Professional | None | $26.30 | $31.62 | $87.10 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.23 Typical High $22.39 | Professional | 26 · Professional part | $7.41 | $10.23 | $22.39 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $29.51 Typical High $67.61 | Professional | TC · Technical part | $20.42 | $29.51 | $67.61 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $229.09 | Professional | 26 · Professional part | $154.88 | $154.88 | $229.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $537.03 | $537.03 | $537.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $23.99 Typical High $33.88 | Professional | None (both parts) | $10.23 | $23.99 | $33.88 |
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 $30.20 Median $45.71 Typical High $97.72 | Facility | None | $30.20 | $45.71 | $97.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $28.18 Median $39.81 Typical High $67.61 | Professional | None (both parts) | $28.18 | $39.81 | $67.61 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.32 Typical High $12.88 | Professional | 26 · Professional part | $7.24 | $8.32 | $12.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $29.51 Typical High $53.70 | Professional | TC · Technical part | $20.89 | $29.51 | $53.70 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $23.99 | $23.99 | $23.99 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $64.57 | $64.57 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $20.42 Median $30.20 Typical High $56.23 | Professional | None (both parts) | $20.42 | $30.20 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.76 Typical High $13.80 | Professional | 26 · Professional part | $5.62 | $7.76 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $21.88 Typical High $43.65 | Professional | TC · Technical part | $14.45 | $21.88 | $43.65 |
5 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 $14.79 Median $17.78 Typical High $83.18 | Facility | 52 · Reduced service | $14.79 | $17.78 | $83.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.03 Median $7.08 Typical High $33.88 | Facility | 53 · Discontinued | $6.03 | $7.08 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $14.79 Typical High $17.78 | Professional | 52 · Reduced service | $13.49 | $14.79 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.03 Typical High $7.08 | Professional | 53 · Discontinued | $5.37 | $6.03 | $7.08 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 59 · Distinct service | $26.30 | $26.30 | $26.30 |
Where California sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 26th of 51
$37.15
MN $69.18MD $25.70
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.