How much rates vary
Facilitymedian $251 · 10th to 90th $83 to $2,818Professionalmedian $186 · 10th to 90th $145 to $631
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 $162.18 Median $186.21 Typical High $18,197.01 | Facility | None | $162.18 | $186.21 | $18,197.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $257.04 | Professional | None (both parts) | $154.88 | $177.83 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $79.43 Typical High $112.20 | Professional | 26 · Professional part | $70.79 | $79.43 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $93.33 Typical High $147.91 | Professional | TC · Technical part | $83.18 | $93.33 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $169.82 | Professional | 26 · Professional part | $117.49 | $117.49 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $83.18 Typical High $338.84 | Facility | None | $66.07 | $83.18 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $158.49 Typical High $524.81 | Professional | None (both parts) | $144.54 | $158.49 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $74.13 Typical High $234.42 | Professional | 26 · Professional part | $66.07 | $74.13 | $234.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $95.50 Typical High $331.13 | Professional | TC · Technical part | $77.62 | $95.50 | $331.13 |
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 $138.04 Median $194.98 Typical High $354.81 | Professional | None (both parts) | $138.04 | $194.98 | $354.81 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $138.04 | Professional | 26 · Professional part | $48.98 | $70.79 | $138.04 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $77.62 | $109.65 | $199.53 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $245.47 Typical High $549.54 | Professional | None (both parts) | $204.17 | $245.47 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $14,791.08 | Facility | None | $120.23 | $120.23 | $14,791.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $181.97 Typical High $380.19 | Professional | None (both parts) | $141.25 | $181.97 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $204.17 | Professional | 26 · Professional part | $64.57 | $81.28 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $208.93 | Professional | TC · Technical part | $77.62 | $100.00 | $208.93 |
Contra Costa Health Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $269.15 | Professional | None | $223.87 | $223.87 | $269.15 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $87.10 Typical High $95.50 | Professional | 26 · Professional part | $63.10 | $87.10 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $331.13 | Professional | None | $173.78 | $194.98 | $331.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $107.15 Typical High $223.87 | Professional | 26 · Professional part | $72.44 | $107.15 | $223.87 |
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 $630.96 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $630.96 | $676.08 | $676.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | TC · Technical part | $5,888.44 | $5,888.44 | $5,888.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Providence Setting Facility Modifier None Typical Low $162.18 Median $229.09 Typical High $354.81 | Facility | None | $162.18 | $229.09 | $354.81 |
Providence Setting Professional Modifier None (both parts) Typical Low $141.25 Median $181.97 Typical High $467.74 | Professional | None (both parts) | $141.25 | $181.97 | $467.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $204.17 | Professional | 26 · Professional part | $63.10 | $81.28 | $204.17 |
Providence Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $251.19 | Professional | TC · Technical part | $77.62 | $100.00 | $251.19 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $169.82 | $169.82 | $169.82 |
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 $125.89 Median $190.55 Typical High $436.52 | Professional | None (both parts) | $125.89 | $190.55 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $72.44 Typical High $151.36 | Professional | 26 · Professional part | $44.67 | $72.44 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $288.40 | Professional | TC · Technical part | $79.43 | $114.82 | $288.40 |
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 $74.13 Median $81.28 Typical High $93.33 | Professional | 52 · Reduced service | $74.13 | $81.28 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $32.36 Typical High $37.15 | Professional | 53 · Discontinued | $29.51 | $32.36 | $37.15 |
Where California sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 30th of 51
$191
WI $417VA $110
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.