How much rates vary
Facilitymedian $6,607 · 10th to 90th $794 to $19,055Professionalmedian $676 · 10th to 90th $525 to $2,042
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 $602.56 Median $676.08 Typical High $954.99 | Professional | None (both parts) | $602.56 | $676.08 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $346.74 Typical High $467.74 | Professional | 26 · Professional part | $309.03 | $346.74 | $467.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $331.13 Typical High $489.78 | Professional | TC · Technical part | $295.12 | $331.13 | $489.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 26 · Professional part | $251.19 | $251.19 | $251.19 |
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 $645.65 Median $660.69 Typical High $1,202.26 | Professional | None (both parts) | $645.65 | $660.69 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $331.13 Typical High $758.58 | Professional | 26 · Professional part | $275.42 | $331.13 | $758.58 |
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 $457.09 Median $660.69 Typical High $891.25 | Professional | None (both parts) | $457.09 | $660.69 | $891.25 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $338.84 Typical High $457.09 | Professional | 26 · Professional part | $239.88 | $338.84 | $457.09 |
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 $691.83 Median $891.25 Typical High $1,412.54 | Professional | None (both parts) | $691.83 | $891.25 | $1,412.54 |
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 $630.96 Median $676.08 Typical High $1,047.13 | Professional | None (both parts) | $630.96 | $676.08 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $346.74 Typical High $575.44 | Professional | 26 · Professional part | $316.23 | $346.74 | $575.44 |
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 $537.03 Median $691.83 Typical High $831.76 | Professional | None | $537.03 | $691.83 | $831.76 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $363.08 Typical High $446.68 | Professional | 26 · Professional part | $331.13 | $363.08 | $446.68 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $245.47 Typical High $295.12 | Professional | TC · Technical part | $194.98 | $245.47 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $1,479.11 | Professional | None | $575.44 | $676.08 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $331.13 Typical High $870.96 | Professional | 26 · Professional part | $275.42 | $331.13 | $870.96 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | None (both parts) | $5,128.61 | $5,128.61 | $5,128.61 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,454.71 Median $2,454.71 Typical High $2,630.27 | Professional | 26 · Professional part | $2,454.71 | $2,454.71 | $2,630.27 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | TC · Technical part | $4,677.35 | $4,677.35 | $4,677.35 |
Molina Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $707.95 | Professional | None (both parts) | $436.52 | $436.52 | $707.95 |
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 $630.96 Median $977.24 Typical High $19,952.62 | Facility | None | $630.96 | $977.24 | $19,952.62 |
Providence Setting Professional Modifier None (both parts) Typical Low $630.96 Median $676.08 Typical High $1,122.02 | Professional | None (both parts) | $630.96 | $676.08 | $1,122.02 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $346.74 Typical High $537.03 | Professional | 26 · Professional part | $316.23 | $346.74 | $537.03 |
Providence 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 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 26 · Professional part | $1,000.00 | $1,000.00 | $1,000.00 |
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 $478.63 Median $660.69 Typical High $1,258.93 | Professional | None (both parts) | $478.63 | $660.69 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $338.84 Typical High $602.56 | Professional | 26 · Professional part | $245.47 | $338.84 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $309.03 Typical High $645.65 | Professional | TC · Technical part | $234.42 | $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 $288.40 Median $316.23 Typical High $354.81 | Professional | 52 · Reduced service | $288.40 | $316.23 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $125.89 Typical High $144.54 | Professional | 53 · Discontinued | $114.82 | $125.89 | $144.54 |
Where California sits
The same service costs 3.0 times more in Alaska than in Hawaii. 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· 30th of 51
$676
AK $1,288HI $437
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.