How much rates vary
Facilitymedian $490 · 10th to 90th $158 to $1,549Professionalmedian $186 · 10th to 90th $135 to $1,072
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 $181.97 Median $501.19 Typical High $707.95 | Facility | None | $181.97 | $501.19 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $190.55 Typical High $275.42 | Professional | None (both parts) | $141.25 | $190.55 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $36.31 | Professional | 26 · Professional part | $18.62 | $22.91 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $169.82 Typical High $245.47 | Professional | TC · Technical part | $117.49 | $169.82 | $245.47 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $134.90 | $141.25 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $19.95 Typical High $21.88 | Facility | None | $18.62 | $19.95 | $21.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $158.49 Typical High $323.59 | Professional | None (both parts) | $154.88 | $158.49 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.05 Typical High $50.12 | Professional | 26 · Professional part | $18.62 | $19.05 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $138.04 Typical High $275.42 | Professional | TC · Technical part | $134.90 | $138.04 | $275.42 |
Blue Shield Setting Facility Modifier None Typical Low $181.97 Median $794.33 Typical High $1,445.44 | Facility | None | $181.97 | $794.33 | $1,445.44 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $151.36 | $218.78 | $309.03 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $22.39 Typical High $33.88 | Professional | 26 · Professional part | $15.85 | $22.39 | $33.88 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $194.98 Typical High $281.84 | Professional | TC · Technical part | $134.90 | $194.98 | $281.84 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $186.21 Typical High $194.98 | Professional | None (both parts) | $114.82 | $186.21 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $389.05 Typical High $5,495.41 | Facility | None | $190.55 | $389.05 | $5,495.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $131.83 | $181.97 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.12 Typical High $43.65 | Professional | 26 · Professional part | $19.95 | $25.12 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $154.88 Typical High $251.19 | Professional | TC · Technical part | $107.15 | $154.88 | $251.19 |
Contra Costa Health Setting Professional Modifier None Typical Low $75.86 Median $165.96 Typical High $199.53 | Professional | None | $75.86 | $165.96 | $199.53 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $25.70 Typical High $30.90 | Professional | 26 · Professional part | $10.72 | $25.70 | $30.90 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $141.25 Typical High $169.82 | Professional | TC · Technical part | $66.07 | $141.25 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $316.23 | Professional | None | $128.82 | $158.49 | $316.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $69.18 | Professional | 26 · Professional part | $23.44 | $31.62 | $69.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $165.96 Typical High $380.19 | Professional | TC · Technical part | $112.20 | $165.96 | $380.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,071.52 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $316.23 | $316.23 | $316.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $954.99 | Professional | TC · Technical part | $870.96 | $870.96 | $954.99 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $134.90 Typical High $169.82 | Professional | None (both parts) | $33.88 | $134.90 | $169.82 |
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 $169.82 Median $309.03 Typical High $3,630.78 | Facility | None | $169.82 | $309.03 | $3,630.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $275.42 | Professional | None (both parts) | $131.83 | $177.83 | $275.42 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $19.95 | $23.99 | $38.02 |
Providence Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $147.91 Typical High $223.87 | Professional | TC · Technical part | $107.15 | $147.91 | $223.87 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $346.74 | $346.74 | $346.74 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $263.03 | Facility | None | $169.82 | $169.82 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $97.72 | $141.25 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.44 Typical High $44.67 | Professional | 26 · Professional part | $18.20 | $23.44 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $120.23 Typical High $208.93 | Professional | TC · Technical part | $79.43 | $120.23 | $208.93 |
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 $67.61 Median $91.20 Typical High $107.15 | Professional | 52 · Reduced service | $67.61 | $91.20 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $36.31 Typical High $42.66 | Professional | 53 · Discontinued | $26.92 | $36.31 | $42.66 |
Where California sits
The same service costs 3.3 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· 13th of 51
$186
AK $316UT $95.50
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.