How much rates vary
Facilitymedian $6,310 · 10th to 90th $2,042 to $21,380Professionalmedian $1,698 · 10th to 90th $1,202 to $8,318
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 $1,202.26 Median $1,479.11 Typical High $2,398.83 | Professional | None (both parts) | $1,202.26 | $1,479.11 | $2,398.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $398.11 Typical High $575.44 | Professional | 26 · Professional part | $354.81 | $398.11 | $575.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,000.00 Typical High $1,659.59 | Professional | TC · Technical part | $831.76 | $1,000.00 | $1,659.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $389.05 | Professional | 26 · Professional part | $316.23 | $316.23 | $389.05 |
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 $501.19 Median $575.44 Typical High $1,479.11 | Professional | 26 · Professional part | $501.19 | $575.44 | $1,479.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,445.44 Typical High $3,981.07 | Professional | TC · Technical part | $1,174.90 | $1,445.44 | $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 $263.03 Median $380.19 Typical High $758.58 | Professional | 26 · Professional part | $263.03 | $380.19 | $758.58 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,000.00 Typical High $2,089.30 | Professional | TC · Technical part | $707.95 | $1,000.00 | $2,089.30 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,778.28 Typical High $2,137.96 | Professional | None (both parts) | $1,348.96 | $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 $380.19 Median $467.74 Typical High $1,174.90 | Professional | 26 · Professional part | $380.19 | $467.74 | $1,174.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,096.48 Typical High $2,884.03 | Professional | TC · Technical part | $912.01 | $1,096.48 | $2,884.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $1,905.46 | Professional | None | $1,122.02 | $1,584.89 | $1,905.46 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $407.38 Typical High $489.78 | Professional | 26 · Professional part | $323.59 | $407.38 | $489.78 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,202.26 Typical High $1,513.56 | Professional | TC · Technical part | $794.33 | $1,202.26 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $4,265.80 | Professional | None | $1,288.25 | $1,621.81 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $537.03 Typical High $1,096.48 | Professional | 26 · Professional part | $354.81 | $537.03 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,445.44 Typical High $3,311.31 | Professional | TC · Technical part | $1,000.00 | $1,445.44 | $3,311.31 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $8,317.64 Median $8,317.64 Typical High $10,471.29 | Professional | None (both parts) | $8,317.64 | $8,317.64 | $10,471.29 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,290.87 Median $2,290.87 Typical High $3,162.28 | Professional | 26 · Professional part | $2,290.87 | $2,290.87 | $3,162.28 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,888.44 Median $5,888.44 Typical High $7,413.10 | Professional | TC · Technical part | $5,888.44 | $5,888.44 | $7,413.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $537.03 Median $1,148.15 Typical High $1,698.24 | Professional | None (both parts) | $537.03 | $1,148.15 | $1,698.24 |
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 $380.19 Median $446.68 Typical High $1,174.90 | Professional | 26 · Professional part | $380.19 | $446.68 | $1,174.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,096.48 Typical High $2,691.53 | Professional | TC · Technical part | $912.01 | $1,096.48 | $2,691.53 |
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 26 · Professional part | $1,202.26 | $1,202.26 | $1,202.26 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | TC · Technical part | $3,090.30 | $3,090.30 | $3,090.30 |
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 $1,513.56 Typical High $3,890.45 | Professional | None (both parts) | $1,047.13 | $1,513.56 | $3,890.45 |
United Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $446.68 Typical High $1,047.13 | Professional | 26 · Professional part | $316.23 | $446.68 | $1,047.13 |
United Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,047.13 Typical High $2,818.38 | Professional | TC · Technical part | $724.44 | $1,047.13 | $2,818.38 |
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 $954.99 Typical High $1,096.48 | Professional | 54 · Surgery only | $851.14 | $954.99 | $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· 19th of 51
$2,042
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.