How much rates vary
Facilitymedian $6,310 · 10th to 90th $2,042 to $21,380Professionalmedian $1,514 · 10th to 90th $1,047 to $7,413
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 $3,801.89 Median $9,772.37 Typical High $22,387.21 | Facility | None | $3,801.89 | $9,772.37 | $22,387.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,258.93 Typical High $2,187.76 | Professional | None (both parts) | $1,047.13 | $1,258.93 | $2,187.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $331.13 Typical High $457.09 | Professional | 26 · Professional part | $302.00 | $331.13 | $457.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $933.25 Typical High $1,548.82 | Professional | TC · Technical part | $758.58 | $933.25 | $1,548.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None (both parts) | $2,754.23 | $2,754.23 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,585.78 Median $16,982.44 Typical High $32,359.37 | Facility | None | $7,585.78 | $16,982.44 | $32,359.37 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,819.70 Typical High $4,897.79 | Professional | None (both parts) | $1,479.11 | $1,819.70 | $4,897.79 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $478.63 Typical High $1,230.27 | Professional | 26 · Professional part | $426.58 | $478.63 | $1,230.27 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,318.26 Typical High $3,548.13 | Professional | TC · Technical part | $1,071.52 | $1,318.26 | $3,548.13 |
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 $851.14 Median $1,230.27 Typical High $2,570.40 | Professional | None (both parts) | $851.14 | $1,230.27 | $2,570.40 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $316.23 Typical High $630.96 | Professional | 26 · Professional part | $223.87 | $316.23 | $630.96 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $912.01 Typical High $1,905.46 | Professional | TC · Technical part | $630.96 | $912.01 | $1,905.46 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,621.81 Typical High $1,862.09 | Professional | None (both parts) | $1,230.27 | $1,621.81 | $1,862.09 |
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 $1,148.15 Median $1,380.38 Typical High $3,467.37 | Professional | None (both parts) | $1,148.15 | $1,380.38 | $3,467.37 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $389.05 Typical High $1,000.00 | Professional | 26 · Professional part | $323.59 | $389.05 | $1,000.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,000.00 Typical High $2,570.40 | Professional | TC · Technical part | $812.83 | $1,000.00 | $2,570.40 |
Contra Costa Health Setting Professional Modifier None Typical Low $977.24 Median $1,445.44 Typical High $1,737.80 | Professional | None | $977.24 | $1,445.44 | $1,737.80 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $346.74 Typical High $416.87 | Professional | 26 · Professional part | $275.42 | $346.74 | $416.87 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,122.02 Typical High $1,348.96 | Professional | TC · Technical part | $707.95 | $1,122.02 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $3,890.45 | Professional | None | $1,174.90 | $1,479.11 | $3,890.45 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $446.68 Typical High $933.25 | Professional | 26 · Professional part | $295.12 | $446.68 | $933.25 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,348.96 Typical High $3,090.30 | Professional | TC · Technical part | $954.99 | $1,348.96 | $3,090.30 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $7,413.10 Median $7,413.10 Typical High $9,549.93 | Professional | None (both parts) | $7,413.10 | $7,413.10 | $9,549.93 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,905.46 Median $1,905.46 Typical High $2,630.27 | Professional | 26 · Professional part | $1,905.46 | $1,905.46 | $2,630.27 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,623.41 Median $5,623.41 Typical High $6,918.31 | Professional | TC · Technical part | $5,623.41 | $5,623.41 | $6,918.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $446.68 Median $1,071.52 Typical High $1,513.56 | Professional | None (both parts) | $446.68 | $1,071.52 | $1,513.56 |
Providence Setting Facility Modifier None Typical Low $1,862.09 Median $2,818.38 Typical High $5,754.40 | Facility | None | $1,862.09 | $2,818.38 | $5,754.40 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,380.38 Typical High $3,467.37 | Professional | None (both parts) | $1,148.15 | $1,380.38 | $3,467.37 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $371.54 Typical High $1,000.00 | Professional | 26 · Professional part | $323.59 | $371.54 | $1,000.00 |
Providence Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $977.24 Typical High $2,454.71 | Professional | TC · Technical part | $812.83 | $977.24 | $2,454.71 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None (both parts) | $3,890.45 | $3,890.45 | $3,890.45 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 26 · Professional part | $1,000.00 | $1,000.00 | $1,000.00 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | TC · Technical part | $2,884.03 | $2,884.03 | $2,884.03 |
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 $933.25 Median $1,348.96 Typical High $3,467.37 | Professional | None (both parts) | $933.25 | $1,348.96 | $3,467.37 |
United Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $371.54 Typical High $870.96 | Professional | 26 · Professional part | $263.03 | $371.54 | $870.96 |
United Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $954.99 Typical High $2,630.27 | Professional | TC · Technical part | $660.69 | $954.99 | $2,630.27 |
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 $758.58 Median $831.76 Typical High $977.24 | Professional | 54 · Surgery only | $758.58 | $831.76 | $977.24 |
Where California sits
The same service costs 4.0 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· 16th of 51
$1,995
WI $4,467NY $1,122
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.