How much rates vary
Facilitymedian $4,898 · 10th to 90th $501 to $151,356Professionalmedian $229 · 10th to 90th $182 to $1,000
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 $2,818.38 Median $9,549.93 Typical High $24,547.09 | Facility | None | $2,818.38 | $9,549.93 | $24,547.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $5,754.40 | Professional | None (both parts) | $190.55 | $199.53 | $5,754.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $112.20 Typical High $123.03 | Professional | 26 · Professional part | $109.65 | $112.20 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $102.33 | Professional | TC · Technical part | $77.62 | $85.11 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $6,606.93 Typical High $15,488.17 | Facility | None | $2,951.21 | $6,606.93 | $15,488.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $758.58 | Professional | None (both parts) | $181.97 | $213.80 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $117.49 Typical High $426.58 | Professional | 26 · Professional part | $107.15 | $117.49 | $426.58 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $323.59 | Professional | TC · Technical part | $75.86 | $83.18 | $323.59 |
Blue Shield Setting Facility Modifier None Typical Low $190.55 Median $707.95 Typical High $1,584.89 | Facility | None | $190.55 | $707.95 | $1,584.89 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $407.38 | Professional | None (both parts) | $158.49 | $229.09 | $407.38 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $134.90 Typical High $263.03 | Professional | 26 · Professional part | $93.33 | $134.90 | $263.03 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $95.50 Typical High $169.82 | Professional | TC · Technical part | $66.07 | $95.50 | $169.82 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $208.93 | $281.84 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $7,413.10 Median $22,908.68 Typical High $33,113.11 | Facility | None | $7,413.10 | $22,908.68 | $33,113.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $229.09 Typical High $537.03 | Professional | None (both parts) | $199.53 | $229.09 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $134.90 Typical High $331.13 | Professional | 26 · Professional part | $117.49 | $134.90 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $229.09 | Professional | TC · Technical part | $83.18 | $95.50 | $229.09 |
Contra Costa Health Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $245.47 | Professional | None | $162.18 | $208.93 | $245.47 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $138.04 Typical High $162.18 | Professional | 26 · Professional part | $117.49 | $138.04 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $229.09 Typical High $478.63 | Professional | None | $194.98 | $229.09 | $478.63 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $165.96 Typical High $346.74 | Professional | 26 · Professional part | $112.20 | $165.96 | $346.74 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $12,882.50 Median $12,882.50 Typical High $12,882.50 | Professional | None (both parts) | $12,882.50 | $12,882.50 | $12,882.50 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $758.58 Median $758.58 Typical High $977.24 | Professional | 26 · Professional part | $758.58 | $758.58 | $977.24 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Professional | TC · Technical part | $12,589.25 | $12,589.25 | $12,589.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $229.09 | Professional | None (both parts) | $165.96 | $165.96 | $229.09 |
Providence Setting Facility Modifier None Typical Low $316.23 Median $151,356.12 Typical High $251,188.64 | Facility | None | $316.23 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None (both parts) Typical Low $199.53 Median $223.87 Typical High $537.03 | Professional | None (both parts) | $199.53 | $223.87 | $537.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $128.82 Typical High $323.59 | Professional | 26 · Professional part | $117.49 | $128.82 | $323.59 |
Providence Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $229.09 | Professional | TC · Technical part | $83.18 | $95.50 | $229.09 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 26 · Professional part | $380.19 | $380.19 | $380.19 |
United Setting Facility Modifier None Typical Low $616.60 Median $1,621.81 Typical High $11,220.18 | Facility | None | $616.60 | $1,621.81 | $11,220.18 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $239.88 Typical High $588.84 | Professional | None (both parts) | $162.18 | $239.88 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $134.90 Typical High $338.84 | Professional | 26 · Professional part | $95.50 | $134.90 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $97.72 Typical High $257.04 | Professional | TC · Technical part | $66.07 | $97.72 | $257.04 |
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 $91.20 Median $97.72 Typical High $112.20 | Professional | 52 · Reduced service | $91.20 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $39.81 Typical High $44.67 | Professional | 53 · Discontinued | $36.31 | $39.81 | $44.67 |
Where California sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 26th of 51
$324
OK $4,786HI $158
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.