How much rates vary
Facilitymedian $8,128 · 10th to 90th $2,455 to $20,417Professionalmedian $8,128 · 10th to 90th $331 to $10,965
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 $4,897.79 Median $10,471.29 Typical High $22,387.21 | Facility | None | $4,897.79 | $10,471.29 | $22,387.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $8,128.31 Typical High $18,620.87 | Professional | None (both parts) | $1,318.26 | $8,128.31 | $18,620.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $338.84 Typical High $512.86 | Professional | 26 · Professional part | $309.03 | $338.84 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,370.32 Median $11,481.54 Typical High $21,379.62 | Facility | None | $5,370.32 | $11,481.54 | $21,379.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,778.28 Typical High $2,754.23 | Professional | None (both parts) | $1,288.25 | $1,778.28 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $467.74 Typical High $1,174.90 | Professional | 26 · Professional part | $398.11 | $467.74 | $1,174.90 |
Blue Shield Setting Facility Modifier None Typical Low $3,235.94 Median $7,244.36 Typical High $10,964.78 | Facility | None | $3,235.94 | $7,244.36 | $10,964.78 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $354.81 Typical High $630.96 | Professional | 26 · Professional part | $245.47 | $354.81 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $7,943.28 Median $14,791.08 Typical High $23,988.33 | Facility | None | $7,943.28 | $14,791.08 | $23,988.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,238.72 Typical High $6,165.95 | Professional | None (both parts) | $1,445.44 | $2,238.72 | $6,165.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $389.05 Typical High $912.01 | Professional | 26 · Professional part | $331.13 | $389.05 | $912.01 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $407.38 Typical High $478.63 | Professional | 26 · Professional part | $371.54 | $407.38 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $1,737.80 | Professional | None | $407.38 | $407.38 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $489.78 Typical High $1,023.29 | Professional | 26 · Professional part | $331.13 | $489.78 | $1,023.29 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $8,128.31 Median $8,128.31 Typical High $10,964.78 | Professional | None (both parts) | $8,128.31 | $8,128.31 | $10,964.78 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,041.74 Median $2,630.27 Typical High $2,630.27 | Professional | 26 · Professional part | $2,041.74 | $2,630.27 | $2,630.27 |
Providence Setting Facility Modifier None Typical Low $338.84 Median $851.14 Typical High $19,498.45 | Facility | None | $338.84 | $851.14 | $19,498.45 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $2,290.87 Typical High $2,238,721.14 | Professional | None (both parts) | $1,380.38 | $2,290.87 | $2,238,721.14 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $389.05 Typical High $954.99 | Professional | 26 · Professional part | $331.13 | $389.05 | $954.99 |
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 $269.15 Median $426.58 Typical High $1,905.46 | Professional | None (both parts) | $269.15 | $426.58 | $1,905.46 |
United Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $389.05 Typical High $954.99 | Professional | 26 · Professional part | $269.15 | $389.05 | $954.99 |
4 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,348.96 Typical High $2,187.76 | Professional | TC · Technical part | $1,000.00 | $1,348.96 | $2,187.76 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,737.80 Typical High $5,011.87 | Professional | TC · Technical part | $1,174.90 | $1,737.80 | $5,011.87 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $6,165.95 Median $6,165.95 Typical High $8,317.64 | Professional | TC · Technical part | $6,165.95 | $6,165.95 | $8,317.64 |
United Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,698.24 Typical High $3,801.89 | Professional | TC · Technical part | $851.14 | $1,698.24 | $3,801.89 |
Where California sits
The same service costs 14.5 times more in California than in Maine. 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· 1st of 51
$8,128
CA $8,128ME $562
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.