How much rates vary
Facilitymedian $9,333 · 10th to 90th $692 to $151,356Professionalmedian $407 · 10th to 90th $316 to $4,074
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 $10,715.19 Typical High $28,183.83 | Facility | None | $2,818.38 | $10,715.19 | $28,183.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $338.84 Typical High $389.05 | Professional | None (both parts) | $323.59 | $338.84 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $363.08 | Professional | 26 · Professional part | $257.04 | $257.04 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $83.18 Typical High $97.72 | Professional | TC · Technical part | $74.13 | $83.18 | $97.72 |
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 $316.23 Median $371.54 Typical High $1,174.90 | Professional | None (both parts) | $316.23 | $371.54 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $275.42 Typical High $851.14 | Professional | 26 · Professional part | $245.47 | $275.42 | $851.14 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $275.42 | Professional | TC · Technical part | $72.44 | $85.11 | $275.42 |
Blue Shield Setting Facility Modifier None Typical Low $87.10 Median $724.44 Typical High $14,791.08 | Facility | None | $87.10 | $724.44 | $14,791.08 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $281.84 Median $407.38 Typical High $724.44 | Professional | None (both parts) | $281.84 | $407.38 | $724.44 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $309.03 Typical High $602.56 | Professional | 26 · Professional part | $213.80 | $309.03 | $602.56 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $95.50 Typical High $173.78 | Professional | TC · Technical part | $67.61 | $95.50 | $173.78 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $616.60 Typical High $5,248.07 | Professional | None (both parts) | $426.58 | $616.60 | $5,248.07 |
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 $331.13 Median $371.54 Typical High $851.14 | Professional | None (both parts) | $331.13 | $371.54 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $288.40 Typical High $724.44 | Professional | 26 · Professional part | $251.19 | $288.40 | $724.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $204.17 | Professional | TC · Technical part | $77.62 | $91.20 | $204.17 |
Contra Costa Health Setting Professional Modifier None Typical Low $288.40 Median $363.08 Typical High $426.58 | Professional | None | $288.40 | $363.08 | $426.58 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $275.42 Typical High $331.13 | Professional | 26 · Professional part | $223.87 | $275.42 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $1,412.54 Typical High $5,011.87 | Professional | None | $467.74 | $1,412.54 | $5,011.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $338.84 Typical High $707.95 | Professional | 26 · Professional part | $229.09 | $338.84 | $707.95 |
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 $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | 26 · Professional part | $2,344.23 | $2,344.23 | $2,344.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $12,302.69 Median $12,302.69 Typical High $12,302.69 | Professional | TC · Technical part | $12,302.69 | $12,302.69 | $12,302.69 |
Molina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $346.74 Typical High $426.58 | Professional | None (both parts) | $89.13 | $346.74 | $426.58 |
Providence Setting Facility Modifier None Typical Low $575.44 Median $151,356.12 Typical High $251,188.64 | Facility | None | $575.44 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None (both parts) Typical Low $331.13 Median $371.54 Typical High $870.96 | Professional | None (both parts) | $331.13 | $371.54 | $870.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $281.84 Typical High $724.44 | Professional | 26 · Professional part | $251.19 | $281.84 | $724.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $89.13 Typical High $204.17 | Professional | TC · Technical part | $77.62 | $89.13 | $204.17 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 26 · Professional part | $758.58 | $758.58 | $758.58 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $6,760.83 Typical High $18,620.87 | Facility | None | $2,884.03 | $6,760.83 | $18,620.87 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $407.38 Typical High $1,318.26 | Professional | None (both parts) | $275.42 | $407.38 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $281.84 Typical High $676.08 | Professional | 26 · Professional part | $204.17 | $281.84 | $676.08 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $107.15 Typical High $389.05 | Professional | TC · Technical part | $69.18 | $107.15 | $389.05 |
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 $158.49 Median $169.82 Typical High $186.21 | Professional | 52 · Reduced service | $158.49 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $67.61 Typical High $75.86 | Professional | 53 · Discontinued | $63.10 | $67.61 | $75.86 |
Where California sits
The same service costs 9.5 times more in Louisiana than in New York. 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
$550
LA $3,090NY $324
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.