How much rates vary
Facilitymedian $4,677 · 10th to 90th $347 to $151,356Professionalmedian $186 · 10th to 90th $151 to $759
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 $1,258.93 Median $9,549.93 Typical High $25,703.96 | Facility | None | $1,258.93 | $9,549.93 | $25,703.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $173.78 Typical High $316.23 | Professional | None (both parts) | $154.88 | $173.78 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $114.82 Typical High $141.25 | Professional | 26 · Professional part | $109.65 | $114.82 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $51.29 Typical High $81.28 | Professional | TC · Technical part | $45.71 | $51.29 | $81.28 |
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 $151.36 Median $177.83 Typical High $588.84 | Professional | None (both parts) | $151.36 | $177.83 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $117.49 Typical High $416.87 | Professional | 26 · Professional part | $107.15 | $117.49 | $416.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $181.97 | Professional | TC · Technical part | $43.65 | $51.29 | $181.97 |
Blue Shield Setting Facility Modifier None Typical Low $109.65 Median $407.38 Typical High $1,479.11 | Facility | None | $109.65 | $407.38 | $1,479.11 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $338.84 | Professional | None (both parts) | $131.83 | $186.21 | $338.84 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $134.90 Typical High $257.04 | Professional | 26 · Professional part | $93.33 | $134.90 | $257.04 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $53.70 Typical High $95.50 | Professional | TC · Technical part | $38.02 | $53.70 | $95.50 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $158.49 | $218.78 | $288.40 |
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 $162.18 Median $186.21 Typical High $426.58 | Professional | None (both parts) | $162.18 | $186.21 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $131.83 Typical High $323.59 | Professional | 26 · Professional part | $114.82 | $131.83 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $54.95 Typical High $131.83 | Professional | TC · Technical part | $47.86 | $54.95 | $131.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $104.71 Median $134.90 Typical High $158.49 | Professional | None | $104.71 | $134.90 | $158.49 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $123.03 Typical High $147.91 | Professional | 26 · Professional part | $81.28 | $123.03 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $380.19 | Professional | None | $154.88 | $181.97 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $165.96 Typical High $346.74 | Professional | 26 · Professional part | $109.65 | $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 $707.95 Median $707.95 Typical High $954.99 | Professional | 26 · Professional part | $707.95 | $707.95 | $954.99 |
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 $162.18 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $162.18 | $162.18 | $190.55 |
Providence Setting Facility Modifier None Typical Low $257.04 Median $151,356.12 Typical High $251,188.64 | Facility | None | $257.04 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $446.68 | Professional | None (both parts) | $162.18 | $181.97 | $446.68 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $128.82 Typical High $323.59 | Professional | 26 · Professional part | $114.82 | $128.82 | $323.59 |
Providence Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $54.95 Typical High $134.90 | Professional | TC · Technical part | $47.86 | $54.95 | $134.90 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $371.54 | $371.54 | $371.54 |
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 $131.83 Median $190.55 Typical High $467.74 | Professional | None (both parts) | $131.83 | $190.55 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $131.83 Typical High $331.13 | Professional | 26 · Professional part | $95.50 | $131.83 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $54.95 Typical High $147.91 | Professional | TC · Technical part | $37.15 | $54.95 | $147.91 |
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 $89.13 | Professional | 52 · Reduced service | $74.13 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $32.36 Typical High $35.48 | Professional | 53 · Discontinued | $29.51 | $32.36 | $35.48 |
Where California sits
The same service costs 8.3 times more in Louisiana 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· 27th of 51
$257
LA $1,288HI $155
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.