How much rates vary
Facilitymedian $6,310 · 10th to 90th $2,042 to $21,380Professionalmedian $1,585 · 10th to 90th $1,122 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 $3,548.13 Median $9,772.37 Typical High $21,379.62 | Facility | None | $3,548.13 | $9,772.37 | $21,379.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,318.26 Typical High $2,290.87 | Professional | None (both parts) | $1,122.02 | $1,318.26 | $2,290.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $354.81 Typical High $524.81 | Professional | 26 · Professional part | $323.59 | $354.81 | $524.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $977.24 Typical High $1,479.11 | Professional | TC · Technical part | $794.33 | $977.24 | $1,479.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $1,698.24 | Professional | 26 · Professional part | $269.15 | $269.15 | $1,698.24 |
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 $1,584.89 Median $1,949.84 Typical High $5,128.61 | Professional | None (both parts) | $1,584.89 | $1,949.84 | $5,128.61 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $512.86 Typical High $1,318.26 | Professional | 26 · Professional part | $457.09 | $512.86 | $1,318.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,380.38 Typical High $3,715.35 | Professional | TC · Technical part | $1,122.02 | $1,380.38 | $3,715.35 |
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 $912.01 Median $1,288.25 Typical High $2,630.27 | Professional | None (both parts) | $912.01 | $1,288.25 | $2,630.27 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $338.84 Typical High $676.08 | Professional | 26 · Professional part | $239.88 | $338.84 | $676.08 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $954.99 Typical High $1,949.84 | Professional | TC · Technical part | $676.08 | $954.99 | $1,949.84 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,584.89 Typical High $1,995.26 | Professional | None (both parts) | $1,202.26 | $1,584.89 | $1,995.26 |
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 $1,202.26 Median $1,479.11 Typical High $3,630.78 | Professional | None (both parts) | $1,202.26 | $1,479.11 | $3,630.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $416.87 Typical High $1,071.52 | Professional | 26 · Professional part | $338.84 | $416.87 | $1,071.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,047.13 Typical High $2,570.40 | Professional | TC · Technical part | $870.96 | $1,047.13 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $3,801.89 | Professional | None | $1,148.15 | $1,445.44 | $3,801.89 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $478.63 Typical High $1,000.00 | Professional | 26 · Professional part | $316.23 | $478.63 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,318.26 Typical High $3,019.95 | Professional | TC · Technical part | $912.01 | $1,318.26 | $3,019.95 |
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 $2,041.74 Median $2,041.74 Typical High $2,818.38 | Professional | 26 · Professional part | $2,041.74 | $2,041.74 | $2,818.38 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,370.32 Median $5,370.32 Typical High $6,606.93 | Professional | TC · Technical part | $5,370.32 | $5,370.32 | $6,606.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,047.13 Typical High $1,513.56 | Professional | None (both parts) | $478.63 | $1,047.13 | $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 $1,202.26 Median $1,445.44 Typical High $3,467.37 | Professional | None (both parts) | $1,202.26 | $1,445.44 | $3,467.37 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $398.11 Typical High $1,071.52 | Professional | 26 · Professional part | $338.84 | $398.11 | $1,071.52 |
Providence Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,047.13 Typical High $2,570.40 | Professional | TC · Technical part | $870.96 | $1,047.13 | $2,570.40 |
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 26 · Professional part | $1,071.52 | $1,071.52 | $1,071.52 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $2,818.38 | $2,818.38 | $2,818.38 |
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 $954.99 Median $1,380.38 Typical High $3,467.37 | Professional | None (both parts) | $954.99 | $1,380.38 | $3,467.37 |
United Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $398.11 Typical High $933.25 | Professional | 26 · Professional part | $281.84 | $398.11 | $933.25 |
United Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $977.24 Typical High $2,570.40 | Professional | TC · Technical part | $660.69 | $977.24 | $2,570.40 |
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 $794.33 Median $891.25 Typical High $1,023.29 | Professional | 54 · Surgery only | $794.33 | $891.25 | $1,023.29 |
Where California sits
The same service costs 3.8 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· 18th of 51
$1,950
WI $4,467NY $1,175
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.