How much rates vary
Facilitymedian $5,248 · 10th to 90th $479 to $18,197Professionalmedian $339 · 10th to 90th $209 to $1,288
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 $288.40 Median $323.59 Typical High $18,620.87 | Facility | None | $288.40 | $323.59 | $18,620.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $288.40 Typical High $323.59 | Professional | None (both parts) | $239.88 | $288.40 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $181.97 Typical High $199.53 | Professional | 26 · Professional part | $169.82 | $181.97 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $107.15 Typical High $131.83 | Professional | TC · Technical part | $67.61 | $107.15 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,606.93 Typical High $14,125.38 | Facility | None | $2,884.03 | $6,606.93 | $14,125.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $389.05 Typical High $812.83 | Professional | None (both parts) | $190.55 | $389.05 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $562.34 | Professional | 26 · Professional part | $234.42 | $234.42 | $562.34 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $151.36 Typical High $269.15 | Professional | TC · Technical part | $97.72 | $151.36 | $269.15 |
Blue Shield Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $223.87 Median $316.23 Typical High $416.87 | Professional | None (both parts) | $223.87 | $316.23 | $416.87 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $158.49 Typical High $173.78 | Professional | 26 · Professional part | $109.65 | $158.49 | $173.78 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $58.88 Typical High $72.44 | Professional | TC · Technical part | $41.69 | $58.88 | $72.44 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $501.19 | Professional | None (both parts) | $213.80 | $257.04 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $21,379.62 Typical High $28,183.83 | Facility | None | $72.44 | $21,379.62 | $28,183.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $316.23 Typical High $501.19 | Professional | None (both parts) | $239.88 | $316.23 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $204.17 Typical High $302.00 | Professional | 26 · Professional part | $173.78 | $204.17 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $117.49 Typical High $173.78 | Professional | TC · Technical part | $69.18 | $117.49 | $173.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $316.23 | Professional | None | $234.42 | $257.04 | $316.23 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $177.83 Typical High $218.78 | Professional | 26 · Professional part | $162.18 | $177.83 | $218.78 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $77.62 Typical High $117.49 | Professional | TC · Technical part | $70.79 | $77.62 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $588.84 | Professional | None | $177.83 | $208.93 | $588.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $162.18 Typical High $426.58 | Professional | 26 · Professional part | $131.83 | $162.18 | $426.58 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $69.18 Typical High $190.55 | Professional | TC · Technical part | $52.48 | $69.18 | $190.55 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,584.89 Typical High $1,584.89 | Professional | None (both parts) | $1,288.25 | $1,584.89 | $1,584.89 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $891.25 Median $1,148.15 Typical High $1,148.15 | Professional | 26 · Professional part | $891.25 | $1,148.15 | $1,148.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $512.86 | Professional | TC · Technical part | $457.09 | $457.09 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $93.33 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $93.33 | $199.53 | $269.15 |
Providence Setting Facility Modifier None Typical Low $208.93 Median $794.33 Typical High $25,703.96 | Facility | None | $208.93 | $794.33 | $25,703.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $239.88 Median $316.23 Typical High $501.19 | Professional | None (both parts) | $239.88 | $316.23 | $501.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $204.17 Typical High $295.12 | Professional | 26 · Professional part | $177.83 | $204.17 | $295.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $117.49 Typical High $173.78 | Professional | TC · Technical part | $70.79 | $117.49 | $173.78 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 26 · Professional part | $478.63 | $478.63 | $478.63 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $173.78 | $173.78 | $173.78 |
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 $154.88 Median $295.12 Typical High $436.52 | Professional | None (both parts) | $154.88 | $295.12 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $194.98 Typical High $295.12 | Professional | 26 · Professional part | $114.82 | $194.98 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $91.20 Typical High $138.04 | Professional | TC · Technical part | $40.74 | $91.20 | $138.04 |
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 $120.23 Median $144.54 Typical High $162.18 | Professional | 52 · Reduced service | $120.23 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $57.54 Typical High $64.57 | Professional | 53 · Discontinued | $47.86 | $57.54 | $64.57 |
Where California sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 12th of 51
$347
AK $468UT $132
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.