How much rates vary
Facilitymedian $7,244 · 10th to 90th $776 to $20,417Professionalmedian $537 · 10th to 90th $407 to $2,188
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 $3,162.28 Median $10,000.00 Typical High $23,442.29 | Facility | None | $3,162.28 | $10,000.00 | $23,442.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $501.19 Typical High $575.44 | Professional | None (both parts) | $457.09 | $501.19 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $186.21 Typical High $204.17 | Professional | 26 · Professional part | $173.78 | $186.21 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $316.23 Typical High $380.19 | Professional | TC · Technical part | $281.84 | $316.23 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,244.36 Median $13,803.84 Typical High $25,118.86 | Facility | None | $7,244.36 | $13,803.84 | $25,118.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $501.19 Median $512.86 Typical High $933.25 | Professional | None (both parts) | $501.19 | $512.86 | $933.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $199.53 Typical High $501.19 | Professional | 26 · Professional part | $162.18 | $199.53 | $501.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $316.23 Typical High $537.03 | Professional | TC · Technical part | $309.03 | $316.23 | $537.03 |
Blue Shield Setting Facility Modifier None Typical Low $407.38 Median $2,344.23 Typical High $3,630.78 | Facility | None | $407.38 | $2,344.23 | $3,630.78 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $363.08 Median $512.86 Typical High $707.95 | Professional | None (both parts) | $363.08 | $512.86 | $707.95 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $204.17 Typical High $269.15 | Professional | 26 · Professional part | $141.25 | $204.17 | $269.15 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $316.23 Typical High $446.68 | Professional | TC · Technical part | $218.78 | $316.23 | $446.68 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $741.31 Typical High $1,258.93 | Professional | None (both parts) | $602.56 | $741.31 | $1,258.93 |
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 $489.78 Median $537.03 Typical High $812.83 | Professional | None (both parts) | $489.78 | $537.03 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $204.17 Typical High $331.13 | Professional | 26 · Professional part | $186.21 | $204.17 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $338.84 Typical High $524.81 | Professional | TC · Technical part | $309.03 | $338.84 | $524.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $478.63 Median $616.60 Typical High $741.31 | Professional | None | $478.63 | $616.60 | $741.31 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $208.93 Typical High $338.84 | Professional | 26 · Professional part | $190.55 | $208.93 | $338.84 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $251.19 Typical High $302.00 | Professional | TC · Technical part | $199.53 | $251.19 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $1,202.26 | Professional | None | $457.09 | $549.54 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $190.55 Typical High $501.19 | Professional | 26 · Professional part | $154.88 | $190.55 | $501.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None (both parts) | $4,466.84 | $4,466.84 | $4,466.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,995.26 Median $2,089.30 Typical High $2,089.30 | Professional | 26 · Professional part | $1,995.26 | $2,089.30 | $2,089.30 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | TC · Technical part | $4,168.69 | $4,168.69 | $4,168.69 |
Molina Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $549.54 | Professional | None (both parts) | $251.19 | $251.19 | $549.54 |
Optum Setting Professional Modifier None (both parts) Typical Low $30.90 Median $54.95 Typical High $70.79 | Professional | None (both parts) | $30.90 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $501.19 Median $776.25 Typical High $19,952.62 | Facility | None | $501.19 | $776.25 | $19,952.62 |
Providence Setting Professional Modifier None (both parts) Typical Low $489.78 Median $537.03 Typical High $870.96 | Professional | None (both parts) | $489.78 | $537.03 | $870.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $204.17 Typical High $309.03 | Professional | 26 · Professional part | $186.21 | $204.17 | $309.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $331.13 Typical High $524.81 | Professional | TC · Technical part | $309.03 | $331.13 | $524.81 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $575.44 | $575.44 | $575.44 |
United Setting Facility Modifier None Typical Low $645.65 Median $1,949.84 Typical High $13,182.57 | Facility | None | $645.65 | $1,949.84 | $13,182.57 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $524.81 Typical High $1,000.00 | Professional | None (both parts) | $371.54 | $524.81 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $199.53 Typical High $338.84 | Professional | 26 · Professional part | $141.25 | $199.53 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $309.03 Typical High $645.65 | Professional | TC · Technical part | $229.09 | $309.03 | $645.65 |
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 $229.09 Median $251.19 Typical High $288.40 | Professional | 52 · Reduced service | $229.09 | $251.19 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $100.00 Typical High $114.82 | Professional | 53 · Discontinued | $91.20 | $100.00 | $114.82 |
Where California sits
The same service costs 3.0 times more in Wisconsin than in North 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· 29th of 51
$537
WI $1,000NC $331
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.