How much rates vary
Facilitymedian $2,570 · 10th to 90th $141 to $19,498Professionalmedian $295 · 10th to 90th $214 to $3,162
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 $3,090.30 Median $10,471.29 Typical High $26,915.35 | Facility | None | $3,090.30 | $10,471.29 | $26,915.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $251.19 Typical High $446.68 | Professional | None (both parts) | $218.78 | $251.19 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $181.97 Typical High $257.04 | Professional | 26 · Professional part | $162.18 | $181.97 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $95.50 | Professional | TC · Technical part | $57.54 | $66.07 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $177.83 | Professional | 26 · Professional part | $138.04 | $138.04 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,025.60 Median $12,022.64 Typical High $21,379.62 | Facility | None | $6,025.60 | $12,022.64 | $21,379.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $2,818.38 | Professional | None (both parts) | $208.93 | $245.47 | $2,818.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $181.97 Typical High $1,548.82 | Professional | 26 · Professional part | $154.88 | $181.97 | $1,548.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $1,258.93 | Professional | TC · Technical part | $54.95 | $64.57 | $1,258.93 |
Blue Shield Setting Facility Modifier None Typical Low $85.11 Median $1,288.25 Typical High $2,630.27 | Facility | None | $85.11 | $1,288.25 | $2,630.27 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $251.19 Median $354.81 Typical High $630.96 | Professional | None (both parts) | $251.19 | $354.81 | $630.96 |
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 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $891.25 Typical High $1,905.46 | Professional | None (both parts) | $165.96 | $891.25 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $14,791.08 Median $19,498.45 Typical High $22,387.21 | Facility | None | $14,791.08 | $19,498.45 | $22,387.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $263.03 Typical High $616.60 | Professional | None (both parts) | $229.09 | $263.03 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $194.98 Typical High $478.63 | Professional | 26 · Professional part | $169.82 | $194.98 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $169.82 | Professional | TC · Technical part | $60.26 | $70.79 | $169.82 |
Contra Costa Health Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $1,047.13 | Professional | None | $691.83 | $891.25 | $1,047.13 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $234.42 Typical High $616.60 | Professional | 26 · Professional part | $181.97 | $234.42 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $1,778.28 Typical High $3,467.37 | Professional | None | $707.95 | $1,778.28 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $245.47 Typical High $512.86 | Professional | 26 · Professional part | $162.18 | $245.47 | $512.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Professional | None (both parts) | $12,022.64 | $12,022.64 | $12,022.64 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | 26 · Professional part | $6,165.95 | $6,165.95 | $6,165.95 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Professional | TC · Technical part | $11,748.98 | $11,748.98 | $11,748.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $501.19 Typical High $9,120.11 | Facility | None | $223.87 | $501.19 | $9,120.11 |
Providence Setting Professional Modifier None (both parts) Typical Low $229.09 Median $263.03 Typical High $645.65 | Professional | None (both parts) | $229.09 | $263.03 | $645.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $186.21 Typical High $478.63 | Professional | 26 · Professional part | $169.82 | $186.21 | $478.63 |
Providence Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $69.18 Typical High $169.82 | Professional | TC · Technical part | $60.26 | $69.18 | $169.82 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $549.54 | $549.54 | $549.54 |
United Setting Facility Modifier None Typical Low $123.03 Median $549.54 Typical High $8,912.51 | Facility | None | $123.03 | $549.54 | $8,912.51 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $380.19 Typical High $2,238.72 | Professional | None (both parts) | $190.55 | $380.19 | $2,238.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $204.17 Typical High $489.78 | Professional | 26 · Professional part | $138.04 | $204.17 | $489.78 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $107.15 Typical High $2,041.74 | Professional | TC · Technical part | $47.86 | $107.15 | $2,041.74 |
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 $104.71 Median $112.20 Typical High $125.89 | Professional | 52 · Reduced service | $104.71 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $45.71 Typical High $50.12 | Professional | 53 · Discontinued | $41.69 | $45.71 | $50.12 |
Where California sits
The same service costs 4.6 times more in Wisconsin than in Maryland. 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· 31st of 51
$339
WI $1,047MD $229
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.