How much rates vary
Facilitymedian $324 · 10th to 90th $98 to $2,818Professionalmedian $316 · 10th to 90th $240 to $955
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 $275.42 Median $316.23 Typical High $18,197.01 | Facility | None | $275.42 | $316.23 | $18,197.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $302.00 Typical High $478.63 | Professional | None (both parts) | $257.04 | $302.00 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $165.96 | Professional | 26 · Professional part | $89.13 | $100.00 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $204.17 Typical High $331.13 | Professional | TC · Technical part | $169.82 | $204.17 | $331.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $147.91 | Professional | 26 · Professional part | $81.28 | $81.28 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $104.71 Typical High $426.58 | Facility | None | $83.18 | $104.71 | $426.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $870.96 | Professional | None (both parts) | $239.88 | $302.00 | $870.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $93.33 Typical High $275.42 | Professional | 26 · Professional part | $83.18 | $93.33 | $275.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $194.98 Typical High $575.44 | Professional | TC · Technical part | $158.49 | $194.98 | $575.44 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $229.09 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $229.09 | $331.13 | $588.84 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $87.10 Typical High $169.82 | Professional | 26 · Professional part | $61.66 | $87.10 | $169.82 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $218.78 Typical High $389.05 | Professional | TC · Technical part | $154.88 | $218.78 | $389.05 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $446.68 Typical High $660.69 | Professional | None (both parts) | $323.59 | $446.68 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $14,791.08 | Facility | None | $223.87 | $223.87 | $14,791.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $309.03 Typical High $691.83 | Professional | None (both parts) | $257.04 | $309.03 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $100.00 Typical High $257.04 | Professional | 26 · Professional part | $87.10 | $100.00 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $213.80 Typical High $457.09 | Professional | TC · Technical part | $173.78 | $213.80 | $457.09 |
Contra Costa Health Setting Professional Modifier None Typical Low $245.47 Median $309.03 Typical High $363.08 | Professional | None | $245.47 | $309.03 | $363.08 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $120.23 | Professional | 26 · Professional part | $79.43 | $102.33 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $331.13 Typical High $575.44 | Professional | None | $295.12 | $331.13 | $575.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $134.90 Typical High $281.84 | Professional | 26 · Professional part | $91.20 | $134.90 | $281.84 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Professional | None (both parts) | $6,025.60 | $6,025.60 | $6,025.60 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $812.83 Median $954.99 Typical High $954.99 | Professional | 26 · Professional part | $812.83 | $954.99 | $954.99 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Professional | TC · Technical part | $5,754.40 | $5,754.40 | $5,754.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $316.23 | Professional | None (both parts) | $102.33 | $102.33 | $316.23 |
Providence Setting Facility Modifier None Typical Low $275.42 Median $371.54 Typical High $602.56 | Facility | None | $275.42 | $371.54 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $257.04 Median $309.03 Typical High $724.44 | Professional | None (both parts) | $257.04 | $309.03 | $724.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $100.00 Typical High $257.04 | Professional | 26 · Professional part | $87.10 | $100.00 | $257.04 |
Providence Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $204.17 Typical High $524.81 | Professional | TC · Technical part | $173.78 | $204.17 | $524.81 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $234.42 | $234.42 | $234.42 |
United Setting Facility Modifier None Typical Low $123.03 Median $501.19 Typical High $3,090.30 | Facility | None | $123.03 | $501.19 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $316.23 Typical High $776.25 | Professional | None (both parts) | $223.87 | $316.23 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $95.50 Typical High $204.17 | Professional | 26 · Professional part | $61.66 | $95.50 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $223.87 Typical High $575.44 | Professional | TC · Technical part | $154.88 | $223.87 | $575.44 |
2 more rates 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 52 · Reduced service Typical Low $123.03 Median $138.04 Typical High $158.49 | Professional | 52 · Reduced service | $123.03 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $54.95 Typical High $63.10 | Professional | 53 · Discontinued | $50.12 | $54.95 | $63.10 |
Where California sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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· 28th of 51
$316
WI $776OR $182
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.