How much rates vary
Facilitymedian $3,981 · 10th to 90th $407 to $151,356Professionalmedian $245 · 10th to 90th $204 to $1,023
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 $9,332.54 Typical High $25,703.96 | Facility | None | $1,258.93 | $9,332.54 | $25,703.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $218.78 Typical High $426.58 | Professional | None (both parts) | $213.80 | $218.78 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $162.18 Typical High $245.47 | Professional | 26 · Professional part | $154.88 | $162.18 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $60.26 Typical High $72.44 | Professional | TC · Technical part | $56.23 | $60.26 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $5,011.87 Typical High $13,489.63 | Facility | None | $2,137.96 | $5,011.87 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $794.33 | Professional | None (both parts) | $204.17 | $239.88 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $169.82 Typical High $588.84 | Professional | 26 · Professional part | $151.36 | $169.82 | $588.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $58.88 Typical High $204.17 | Professional | TC · Technical part | $53.70 | $58.88 | $204.17 |
Blue Shield Setting Facility Modifier None Typical Low $109.65 Median $489.78 Typical High $1,479.11 | Facility | None | $109.65 | $489.78 | $1,479.11 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $177.83 Median $257.04 Typical High $457.09 | Professional | None (both parts) | $177.83 | $257.04 | $457.09 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $190.55 Typical High $371.54 | Professional | 26 · Professional part | $131.83 | $190.55 | $371.54 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $66.07 Typical High $117.49 | Professional | TC · Technical part | $45.71 | $66.07 | $117.49 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $257.04 Typical High $288.40 | Professional | None (both parts) | $158.49 | $257.04 | $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 $218.78 Median $251.19 Typical High $588.84 | Professional | None (both parts) | $218.78 | $251.19 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $186.21 Typical High $457.09 | Professional | 26 · Professional part | $162.18 | $186.21 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $162.18 | Professional | TC · Technical part | $57.54 | $66.07 | $162.18 |
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 $83.18 Median $169.82 Typical High $204.17 | Professional | 26 · Professional part | $83.18 | $169.82 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $512.86 | Professional | None | $208.93 | $245.47 | $512.86 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $229.09 Typical High $478.63 | Professional | 26 · Professional part | $154.88 | $229.09 | $478.63 |
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 $1,000.00 Median $1,000.00 Typical High $1,348.96 | Professional | 26 · Professional part | $1,000.00 | $1,000.00 | $1,348.96 |
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 $229.09 Median $229.09 Typical High $263.03 | Professional | None (both parts) | $229.09 | $229.09 | $263.03 |
Providence Setting Facility Modifier None Typical Low $309.03 Median $151,356.12 Typical High $251,188.64 | Facility | None | $309.03 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None (both parts) Typical Low $218.78 Median $245.47 Typical High $602.56 | Professional | None (both parts) | $218.78 | $245.47 | $602.56 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $177.83 Typical High $446.68 | Professional | 26 · Professional part | $162.18 | $177.83 | $446.68 |
Providence Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $162.18 | Professional | TC · Technical part | $57.54 | $66.07 | $162.18 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $524.81 | $524.81 | $524.81 |
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 $177.83 Median $263.03 Typical High $630.96 | Professional | None (both parts) | $177.83 | $263.03 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $186.21 Typical High $467.74 | Professional | 26 · Professional part | $134.90 | $186.21 | $467.74 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $67.61 Typical High $190.55 | Professional | TC · Technical part | $44.67 | $67.61 | $190.55 |
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 $102.33 Median $109.65 Typical High $120.23 | Professional | 52 · Reduced service | $102.33 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $43.65 Typical High $48.98 | Professional | 53 · Discontinued | $40.74 | $43.65 | $48.98 |
Where California sits
The same service costs 5.9 times more in Louisiana than in Alabama. 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· 34th of 51
$316
LA $1,288AL $219
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.