How much rates vary
Facilitymedian $427 · 10th to 90th $191 to $1,738Professionalmedian $229 · 10th to 90th $182 to $1,622
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 $190.55 Median $323.59 Typical High $724.44 | Facility | None | $190.55 | $323.59 | $724.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $51.29 | Facility | 26 · Professional part | $28.18 | $35.48 | $51.29 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $208.93 Typical High $1,047.13 | Facility | TC · Technical part | $162.18 | $208.93 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $354.81 | Professional | None (both parts) | $181.97 | $218.78 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $58.88 | Professional | 26 · Professional part | $28.18 | $34.67 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $151.36 | $177.83 | $295.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $194.98 Typical High $218.78 | Professional | None (both parts) | $173.78 | $194.98 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $33.11 | $36.31 | $54.95 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $158.49 | $158.49 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $34.67 Median $36.31 Typical High $40.74 | Facility | None | $34.67 | $36.31 | $40.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $218.78 Typical High $489.78 | Professional | None (both parts) | $169.82 | $218.78 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $79.43 | Professional | 26 · Professional part | $32.36 | $35.48 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $186.21 Typical High $416.87 | Professional | TC · Technical part | $141.25 | $186.21 | $416.87 |
Blue Shield Setting Facility Modifier None Typical Low $229.09 Median $1,122.02 Typical High $1,995.26 | Facility | None | $229.09 | $1,122.02 | $1,995.26 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $162.18 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $162.18 | $229.09 | $346.74 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.88 Typical High $51.29 | Professional | 26 · Professional part | $23.99 | $33.88 | $51.29 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $194.98 Typical High $295.12 | Professional | TC · Technical part | $138.04 | $194.98 | $295.12 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $288.40 Typical High $407.38 | Professional | None (both parts) | $208.93 | $288.40 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $831.76 Typical High $5,495.41 | Facility | None | $338.84 | $831.76 | $5,495.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $269.15 Typical High $436.52 | Professional | None (both parts) | $208.93 | $269.15 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $70.79 | Professional | 26 · Professional part | $30.20 | $39.81 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $234.42 Typical High $389.05 | Professional | TC · Technical part | $169.82 | $234.42 | $389.05 |
Contra Costa Health Setting Professional Modifier None Typical Low $154.88 Median $257.04 Typical High $309.03 | Professional | None | $154.88 | $257.04 | $309.03 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $38.90 | $46.77 | $57.54 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $213.80 Typical High $257.04 | Professional | TC · Technical part | $117.49 | $213.80 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $234.42 Typical High $478.63 | Professional | None | $194.98 | $234.42 | $478.63 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $51.29 Typical High $112.20 | Professional | 26 · Professional part | $38.02 | $51.29 | $112.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $245.47 Typical High $562.34 | Professional | TC · Technical part | $169.82 | $245.47 | $562.34 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None (both parts) | $1,621.81 | $1,621.81 | $1,621.81 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 26 · Professional part | $436.52 | $436.52 | $436.52 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,318.26 Typical High $1,445.44 | Professional | TC · Technical part | $1,318.26 | $1,318.26 | $1,445.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $204.17 Typical High $257.04 | Professional | None (both parts) | $54.95 | $204.17 | $257.04 |
Optum Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None (both parts) | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $257.04 Median $588.84 Typical High $3,981.07 | Facility | None | $257.04 | $588.84 | $3,981.07 |
Providence Setting Professional Modifier None (both parts) Typical Low $208.93 Median $269.15 Typical High $436.52 | Professional | None (both parts) | $208.93 | $269.15 | $436.52 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $61.66 | Professional | 26 · Professional part | $30.20 | $38.90 | $61.66 |
Providence Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $229.09 Typical High $346.74 | Professional | TC · Technical part | $169.82 | $229.09 | $346.74 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $676.08 | $676.08 | $676.08 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $128.82 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $537.03 | $537.03 | $537.03 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $213.80 Typical High $371.54 | Professional | None (both parts) | $151.36 | $213.80 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $70.79 | Professional | 26 · Professional part | $27.54 | $37.15 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $181.97 Typical High $316.23 | Professional | TC · Technical part | $123.03 | $181.97 | $316.23 |
4 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 $85.11 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $85.11 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $38.02 Typical High $45.71 | Professional | 53 · Discontinued | $34.67 | $38.02 | $45.71 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $186.21 Median $208.93 Typical High $218.78 | Professional | 59 · Distinct service | $186.21 | $208.93 | $218.78 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | XS · Separate structure | $173.78 | $173.78 | $173.78 |
Where California sits
The same service costs 3.2 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· 30th of 51
$229
MN $501UT $158
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.