How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,950 to $16,982Professionalmedian $1,072 · 10th to 90th $741 to $5,888
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 $1,659.59 Median $7,943.28 Typical High $19,054.61 | Facility | None | $1,659.59 | $7,943.28 | $19,054.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $954.99 Typical High $1,621.81 | Professional | None (both parts) | $741.31 | $954.99 | $1,621.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $147.91 Typical High $213.80 | Professional | 26 · Professional part | $131.83 | $147.91 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $794.33 Typical High $1,288.25 | Professional | TC · Technical part | $602.56 | $794.33 | $1,288.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $676.08 | Professional | 26 · Professional part | $107.15 | $107.15 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $8,511.38 Typical High $18,620.87 | Facility | None | $4,168.69 | $8,511.38 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,288.25 Typical High $3,467.37 | Professional | None (both parts) | $1,047.13 | $1,288.25 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $213.80 Typical High $537.03 | Professional | 26 · Professional part | $186.21 | $213.80 | $537.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,047.13 Typical High $2,884.03 | Professional | TC · Technical part | $870.96 | $1,047.13 | $2,884.03 |
Blue Shield Setting Facility Modifier None Typical Low $77.62 Median $7,079.46 Typical High $19,054.61 | Facility | None | $77.62 | $7,079.46 | $19,054.61 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $616.60 Median $870.96 Typical High $1,862.09 | Professional | None (both parts) | $616.60 | $870.96 | $1,862.09 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $141.25 Typical High $275.42 | Professional | 26 · Professional part | $97.72 | $141.25 | $275.42 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $741.31 Typical High $1,548.82 | Professional | TC · Technical part | $512.86 | $741.31 | $1,548.82 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,230.27 Typical High $1,318.26 | Professional | None (both parts) | $891.25 | $1,230.27 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $2,951.21 Typical High $7,943.28 | Facility | None | $2,187.76 | $2,951.21 | $7,943.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $977.24 Typical High $2,511.89 | Professional | None (both parts) | $812.83 | $977.24 | $2,511.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $169.82 Typical High $436.52 | Professional | 26 · Professional part | $141.25 | $169.82 | $436.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $851.14 Typical High $2,089.30 | Professional | TC · Technical part | $660.69 | $851.14 | $2,089.30 |
Contra Costa Health Setting Professional Modifier None Typical Low $691.83 Median $1,148.15 Typical High $1,380.38 | Professional | None | $691.83 | $1,148.15 | $1,380.38 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $151.36 Typical High $177.83 | Professional | 26 · Professional part | $117.49 | $151.36 | $177.83 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $1,023.29 Typical High $1,230.27 | Professional | TC · Technical part | $575.44 | $1,023.29 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $2,884.03 | Professional | None | $912.01 | $1,148.15 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $190.55 Typical High $398.11 | Professional | 26 · Professional part | $128.82 | $190.55 | $398.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,230.27 Typical High $2,884.03 | Professional | TC · Technical part | $870.96 | $1,230.27 | $2,884.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,888.44 Median $5,888.44 Typical High $7,413.10 | Professional | None (both parts) | $5,888.44 | $5,888.44 | $7,413.10 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $812.83 Median $812.83 Typical High $1,096.48 | Professional | 26 · Professional part | $812.83 | $812.83 | $1,096.48 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,011.87 Median $5,011.87 Typical High $6,309.57 | Professional | TC · Technical part | $5,011.87 | $5,011.87 | $6,309.57 |
Molina Setting Professional Modifier None (both parts) Typical Low $186.21 Median $977.24 Typical High $1,148.15 | Professional | None (both parts) | $186.21 | $977.24 | $1,148.15 |
Providence Setting Facility Modifier None Typical Low $1,318.26 Median $2,754.23 Typical High $5,754.40 | Facility | None | $1,318.26 | $2,754.23 | $5,754.40 |
Providence Setting Professional Modifier None (both parts) Typical Low $812.83 Median $977.24 Typical High $2,398.83 | Professional | None (both parts) | $812.83 | $977.24 | $2,398.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $162.18 Typical High $426.58 | Professional | 26 · Professional part | $141.25 | $162.18 | $426.58 |
Providence Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $812.83 Typical High $2,089.30 | Professional | TC · Technical part | $660.69 | $812.83 | $2,089.30 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None (both parts) | $2,818.38 | $2,818.38 | $2,818.38 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 26 · Professional part | $416.87 | $416.87 | $416.87 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | TC · Technical part | $2,398.83 | $2,398.83 | $2,398.83 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $5,495.41 Typical High $17,378.01 | Facility | None | $2,290.87 | $5,495.41 | $17,378.01 |
United Setting Professional Modifier None (both parts) Typical Low $676.08 Median $977.24 Typical High $2,570.40 | Professional | None (both parts) | $676.08 | $977.24 | $2,570.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $158.49 Typical High $371.54 | Professional | 26 · Professional part | $109.65 | $158.49 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $812.83 Typical High $2,187.76 | Professional | TC · Technical part | $562.34 | $812.83 | $2,187.76 |
1 more rate 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 Professional Modifier 54 · Surgery only Typical Low $537.03 Median $588.84 Typical High $691.83 | Professional | 54 · Surgery only | $537.03 | $588.84 | $691.83 |
Where California sits
The same service costs 4.3 times more in Wisconsin 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· 22nd of 51
$1,413
WI $3,467NY $813
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.