How much rates vary
Facilitymedian $4,786 · 10th to 90th $288 to $17,378Professionalmedian $363 · 10th to 90th $263 to $2,291
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 $316.23 Typical High $323.59 | Facility | None | $288.40 | $316.23 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $275.42 | $288.40 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $239.88 Typical High $371.54 | Professional | 26 · Professional part | $229.09 | $239.88 | $371.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $48.98 Typical High $75.86 | Professional | TC · Technical part | $43.65 | $48.98 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,025.60 Median $11,748.98 Typical High $21,379.62 | Facility | None | $6,025.60 | $11,748.98 | $21,379.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $316.23 Typical High $891.25 | Professional | None (both parts) | $245.47 | $316.23 | $891.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $263.03 Typical High $741.31 | Professional | 26 · Professional part | $213.80 | $263.03 | $741.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $52.48 Typical High $218.78 | Professional | TC · Technical part | $33.88 | $52.48 | $218.78 |
Blue Shield Setting Facility Modifier None Typical Low $72.44 Median $1,096.48 Typical High $1,949.84 | Facility | None | $72.44 | $1,096.48 | $1,949.84 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $257.04 Median $363.08 Typical High $489.78 | Professional | None (both parts) | $257.04 | $363.08 | $489.78 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $302.00 Typical High $407.38 | Professional | 26 · Professional part | $213.80 | $302.00 | $407.38 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $61.66 Typical High $87.10 | Professional | TC · Technical part | $43.65 | $61.66 | $87.10 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $707.95 | Professional | None (both parts) | $309.03 | $371.54 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $338.84 Typical High $1,122.02 | Facility | None | $302.00 | $338.84 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $380.19 Typical High $660.69 | Professional | None (both parts) | $281.84 | $380.19 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $269.15 Typical High $446.68 | Professional | 26 · Professional part | $245.47 | $269.15 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $64.57 Typical High $169.82 | Professional | TC · Technical part | $31.62 | $64.57 | $169.82 |
Contra Costa Health Setting Professional Modifier None Typical Low $275.42 Median $338.84 Typical High $457.09 | Professional | None | $275.42 | $338.84 | $457.09 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $269.15 Typical High $363.08 | Professional | 26 · Professional part | $177.83 | $269.15 | $363.08 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $114.82 | Professional | TC · Technical part | $64.57 | $72.44 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $758.58 | Professional | None | $263.03 | $302.00 | $758.58 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $269.15 Typical High $724.44 | Professional | 26 · Professional part | $218.78 | $269.15 | $724.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $63.10 Typical High $173.78 | Professional | TC · Technical part | $47.86 | $63.10 | $173.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $3,548.13 Typical High $3,548.13 | Professional | None (both parts) | $2,290.87 | $3,548.13 | $3,548.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,513.56 Median $1,513.56 Typical High $1,905.46 | Professional | 26 · Professional part | $1,513.56 | $1,513.56 | $1,905.46 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $2,137.96 Typical High $2,137.96 | Professional | TC · Technical part | $1,380.38 | $2,137.96 | $2,137.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $61.66 Median $331.13 Typical High $389.05 | Professional | None (both parts) | $61.66 | $331.13 | $389.05 |
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 $288.40 Median $457.09 Typical High $741.31 | Facility | None | $288.40 | $457.09 | $741.31 |
Providence Setting Professional Modifier None (both parts) Typical Low $281.84 Median $380.19 Typical High $660.69 | Professional | None (both parts) | $281.84 | $380.19 | $660.69 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $269.15 Typical High $426.58 | Professional | 26 · Professional part | $245.47 | $269.15 | $426.58 |
Providence Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $67.61 Typical High $169.82 | Professional | TC · Technical part | $31.62 | $67.61 | $169.82 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $933.25 | $933.25 | $933.25 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 26 · Professional part | $794.33 | $794.33 | $794.33 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $128.82 | $128.82 | $128.82 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $776.25 | Facility | None | $501.19 | $501.19 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $338.84 Typical High $537.03 | Professional | None (both parts) | $218.78 | $338.84 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $257.04 Typical High $457.09 | Professional | 26 · Professional part | $186.21 | $257.04 | $457.09 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $56.23 Typical High $117.49 | Professional | TC · Technical part | $28.84 | $56.23 | $117.49 |
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 $134.90 Median $144.54 Typical High $162.18 | Professional | 52 · Reduced service | $134.90 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $57.54 Typical High $64.57 | Professional | 53 · Discontinued | $54.95 | $57.54 | $64.57 |
Where California sits
The same service costs 3.3 times more in Minnesota 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· 27th of 51
$363
MN $661UT $200
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.