How much rates vary
Facilitymedian $1,660 · 10th to 90th $135 to $16,982Professionalmedian $269 · 10th to 90th $200 to $912
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 $933.25 Median $10,715.19 Typical High $27,542.29 | Facility | None | $933.25 | $10,715.19 | $27,542.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $229.09 Typical High $407.38 | Professional | None (both parts) | $204.17 | $229.09 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $151.36 Typical High $239.88 | Professional | 26 · Professional part | $53.70 | $151.36 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $112.20 | Professional | TC · Technical part | $53.70 | $63.10 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $56.23 | Professional | 26 · Professional part | $45.71 | $51.29 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $8,511.38 Typical High $19,054.61 | Facility | None | $4,168.69 | $8,511.38 | $19,054.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $676.08 | Professional | None (both parts) | $194.98 | $229.09 | $676.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $158.49 Typical High $501.19 | Professional | 26 · Professional part | $131.83 | $158.49 | $501.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $57.54 Typical High $229.09 | Professional | TC · Technical part | $51.29 | $57.54 | $229.09 |
Blue Shield Setting Facility Modifier None Typical Low $85.11 Median $1,047.13 Typical High $2,137.96 | Facility | None | $85.11 | $1,047.13 | $2,137.96 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $588.84 | Professional | None (both parts) | $229.09 | $323.59 | $588.84 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $173.78 Typical High $331.13 | Professional | 26 · Professional part | $123.03 | $173.78 | $331.13 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $263.03 | $363.08 | $363.08 |
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 $177.83 Median $229.09 Typical High $489.78 | Professional | None (both parts) | $177.83 | $229.09 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $169.82 Typical High $407.38 | Professional | 26 · Professional part | $134.90 | $169.82 | $407.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $61.66 Typical High $134.90 | Professional | TC · Technical part | $44.67 | $61.66 | $134.90 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $74.13 | Professional | 26 · Professional part | $57.54 | $63.10 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $295.12 Typical High $645.65 | Professional | None | $269.15 | $295.12 | $645.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $77.62 Typical High $162.18 | Professional | 26 · Professional part | $51.29 | $77.62 | $162.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None (both parts) | $3,630.78 | $3,630.78 | $3,630.78 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | 26 · Professional part | $1,380.38 | $1,380.38 | $1,380.38 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | TC · Technical part | $3,548.13 | $3,548.13 | $3,548.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $416.87 Typical High $2,691.53 | Facility | None | $223.87 | $416.87 | $2,691.53 |
Providence Setting Professional Modifier None (both parts) Typical Low $186.21 Median $229.09 Typical High $549.54 | Professional | None (both parts) | $186.21 | $229.09 | $549.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $169.82 Typical High $371.54 | Professional | 26 · Professional part | $138.04 | $169.82 | $371.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $61.66 Typical High $134.90 | Professional | TC · Technical part | $45.71 | $61.66 | $134.90 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $512.86 | $512.86 | $512.86 |
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 $234.42 Median $380.19 Typical High $831.76 | Professional | None (both parts) | $234.42 | $380.19 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $165.96 Typical High $389.05 | Professional | 26 · Professional part | $69.18 | $165.96 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $181.97 Typical High $457.09 | Professional | TC · Technical part | $102.33 | $181.97 | $457.09 |
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 $97.72 Median $104.71 Typical High $114.82 | Professional | 52 · Reduced service | $97.72 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $41.69 Typical High $46.77 | Professional | 53 · Discontinued | $38.90 | $41.69 | $46.77 |
Where California sits
The same service costs 4.8 times more in Nebraska than in South Carolina. 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· 23rd of 51
$302
NE $724SC $151
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.