How much rates vary
Facilitymedian $6,457 · 10th to 90th $2,042 to $21,380Professionalmedian $1,698 · 10th to 90th $1,202 to $8,128
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 $3,890.45 Median $9,772.37 Typical High $22,387.21 | Facility | None | $3,890.45 | $9,772.37 | $22,387.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,380.38 Typical High $2,454.71 | Professional | None (both parts) | $1,202.26 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $371.54 Typical High $512.86 | Professional | 26 · Professional part | $338.84 | $371.54 | $512.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,000.00 Typical High $1,659.59 | Professional | TC · Technical part | $851.14 | $1,000.00 | $1,659.59 |
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 $1,698.24 Median $2,041.74 Typical High $5,623.41 | Professional | None (both parts) | $1,698.24 | $2,041.74 | $5,623.41 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $537.03 Typical High $1,380.38 | Professional | 26 · Professional part | $478.63 | $537.03 | $1,380.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,479.11 Typical High $3,981.07 | Professional | TC · Technical part | $1,202.26 | $1,479.11 | $3,981.07 |
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 $977.24 Median $1,380.38 Typical High $2,818.38 | Professional | None (both parts) | $977.24 | $1,380.38 | $2,818.38 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $354.81 Typical High $707.95 | Professional | 26 · Professional part | $251.19 | $354.81 | $707.95 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,023.29 Typical High $2,137.96 | Professional | TC · Technical part | $724.44 | $1,023.29 | $2,137.96 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,778.28 Typical High $2,137.96 | Professional | None (both parts) | $1,318.26 | $1,778.28 | $2,137.96 |
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 $1,288.25 Median $1,548.82 Typical High $3,890.45 | Professional | None (both parts) | $1,288.25 | $1,548.82 | $3,890.45 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $436.52 Typical High $1,122.02 | Professional | 26 · Professional part | $354.81 | $436.52 | $1,122.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,122.02 Typical High $2,884.03 | Professional | TC · Technical part | $933.25 | $1,122.02 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $4,168.69 | Professional | None | $1,258.93 | $1,584.89 | $4,168.69 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $501.19 Typical High $1,047.13 | Professional | 26 · Professional part | $331.13 | $501.19 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,479.11 Typical High $3,388.44 | Professional | TC · Technical part | $1,023.29 | $1,479.11 | $3,388.44 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $8,128.31 Median $8,128.31 Typical High $10,471.29 | Professional | None (both parts) | $8,128.31 | $8,128.31 | $10,471.29 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,137.96 Median $2,137.96 Typical High $2,951.21 | Professional | 26 · Professional part | $2,137.96 | $2,137.96 | $2,951.21 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $6,025.60 Median $6,025.60 Typical High $7,413.10 | Professional | TC · Technical part | $6,025.60 | $6,025.60 | $7,413.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $501.19 Median $1,174.90 Typical High $1,659.59 | Professional | None (both parts) | $501.19 | $1,174.90 | $1,659.59 |
Providence Setting Facility Modifier None Typical Low $1,905.46 Median $2,818.38 Typical High $5,754.40 | Facility | None | $1,905.46 | $2,818.38 | $5,754.40 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,548.82 Typical High $3,801.89 | Professional | None (both parts) | $1,288.25 | $1,548.82 | $3,801.89 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $416.87 Typical High $1,122.02 | Professional | 26 · Professional part | $354.81 | $416.87 | $1,122.02 |
Providence Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,122.02 Typical High $2,754.23 | Professional | TC · Technical part | $933.25 | $1,122.02 | $2,754.23 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None (both parts) | $4,265.80 | $4,265.80 | $4,265.80 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | 26 · Professional part | $1,122.02 | $1,122.02 | $1,122.02 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | TC · Technical part | $3,162.28 | $3,162.28 | $3,162.28 |
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 $1,047.13 Median $1,479.11 Typical High $3,890.45 | Professional | None (both parts) | $1,047.13 | $1,479.11 | $3,890.45 |
United Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $416.87 Typical High $1,000.00 | Professional | 26 · Professional part | $295.12 | $416.87 | $1,000.00 |
United Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,071.52 Typical High $2,884.03 | Professional | TC · Technical part | $741.31 | $1,071.52 | $2,884.03 |
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 $851.14 Median $933.25 Typical High $1,096.48 | Professional | 54 · Surgery only | $851.14 | $933.25 | $1,096.48 |
Where California sits
The same service costs 3.9 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
$2,188
WI $4,898NY $1,259
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.