How much rates vary
Facilitymedian $661 · 10th to 90th $37 to $1,380Professionalmedian $46 · 10th to 90th $26 to $603
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 $37.15 Median $44.67 Typical High $85.11 | Facility | None | $37.15 | $44.67 | $85.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $47.86 Typical High $239.88 | Facility | TC · Technical part | $33.88 | $47.86 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.90 Typical High $63.10 | Professional | None (both parts) | $27.54 | $38.90 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $3.80 Typical High $5.50 | Professional | 26 · Professional part | $3.39 | $3.80 | $5.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $35.48 Typical High $57.54 | Professional | TC · Technical part | $23.99 | $35.48 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $10.00 Median $25.12 Typical High $28.84 | Professional | None (both parts) | $10.00 | $25.12 | $28.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $3.31 Typical High $3.47 | Professional | 26 · Professional part | $2.88 | $3.31 | $3.47 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.38 Typical High $21.38 | Professional | TC · Technical part | $17.78 | $21.38 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.90 Median $5.25 Typical High $5.75 | Facility | None | $4.90 | $5.25 | $5.75 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.70 Median $53.70 Typical High $144.54 | Professional | None (both parts) | $25.70 | $53.70 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $4.90 Typical High $9.55 | Professional | 26 · Professional part | $3.16 | $4.90 | $9.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $48.98 Typical High $144.54 | Professional | TC · Technical part | $22.39 | $48.98 | $144.54 |
Blue Shield Setting Facility Modifier None Typical Low $208.93 Median $954.99 Typical High $1,479.11 | Facility | None | $208.93 | $954.99 | $1,479.11 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $31.62 Median $44.67 Typical High $66.07 | Professional | None (both parts) | $31.62 | $44.67 | $66.07 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $4.17 Typical High $6.03 | Professional | 26 · Professional part | $2.88 | $4.17 | $6.03 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $40.74 Typical High $58.88 | Professional | TC · Technical part | $28.18 | $40.74 | $58.88 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $37.15 Typical High $199.53 | Professional | None (both parts) | $30.20 | $37.15 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $43.65 Typical High $128.82 | Professional | None (both parts) | $26.92 | $43.65 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $3.98 Typical High $6.76 | Professional | 26 · Professional part | $3.39 | $3.98 | $6.76 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $39.81 Typical High $125.89 | Professional | TC · Technical part | $23.44 | $39.81 | $125.89 |
Contra Costa Health Setting Professional Modifier None Typical Low $32.36 Median $36.31 Typical High $93.33 | Professional | None | $32.36 | $36.31 | $93.33 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $2.34 Median $4.37 Typical High $4.79 | Professional | 26 · Professional part | $2.34 | $4.37 | $4.79 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $31.62 Typical High $91.20 | Professional | TC · Technical part | $28.84 | $31.62 | $91.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $72.44 | Professional | None | $25.12 | $30.20 | $72.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $3.47 Median $4.79 Typical High $10.72 | Professional | 26 · Professional part | $3.47 | $4.79 | $10.72 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.11 Typical High $75.86 | Professional | TC · Technical part | $22.91 | $33.11 | $75.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $724.44 | Professional | None (both parts) | $602.56 | $602.56 | $724.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $288.40 | Professional | 26 · Professional part | $181.97 | $181.97 | $288.40 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | TC · Technical part | $676.08 | $676.08 | $676.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.37 Median $26.92 Typical High $31.62 | Professional | None (both parts) | $4.37 | $26.92 | $31.62 |
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 $36.31 Median $56.23 Typical High $177.83 | Facility | None | $36.31 | $56.23 | $177.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $26.92 Median $44.67 Typical High $125.89 | Professional | None (both parts) | $26.92 | $44.67 | $125.89 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $3.89 Typical High $6.03 | Professional | 26 · Professional part | $3.39 | $3.89 | $6.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $39.81 Typical High $125.89 | Professional | TC · Technical part | $23.99 | $39.81 | $125.89 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 26 · Professional part | $10.47 | $10.47 | $10.47 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $19.05 Median $30.90 Typical High $93.33 | Professional | None (both parts) | $19.05 | $30.90 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.45 Median $3.63 Typical High $6.17 | Professional | 26 · Professional part | $2.45 | $3.63 | $6.17 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $26.92 Typical High $85.11 | Professional | TC · Technical part | $16.60 | $26.92 | $85.11 |
6 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 $18.62 Median $22.39 Typical High $125.89 | Facility | 52 · Reduced service | $18.62 | $22.39 | $125.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.41 Median $8.91 Typical High $50.12 | Facility | 53 · Discontinued | $7.41 | $8.91 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $18.62 Typical High $22.39 | Professional | 52 · Reduced service | $14.13 | $18.62 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $7.41 Typical High $8.91 | Professional | 53 · Discontinued | $5.62 | $7.41 | $8.91 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $23.44 Median $25.12 Typical High $27.54 | Professional | 59 · Distinct service | $23.44 | $25.12 | $27.54 |
HealthNet Setting Professional Modifier 59 · Distinct service Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | 59 · Distinct service | $645.65 | $645.65 | $645.65 |
Where California sits
The same service costs 2.9 times more in Kansas 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· 17th of 51
$45.71
KS $74.13MD $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.