How much rates vary
Facilitymedian $490 · 10th to 90th $191 to $1,778Professionalmedian $316 · 10th to 90th $209 to $1,950
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 $208.93 Median $501.19 Typical High $707.95 | Facility | None | $208.93 | $501.19 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $245.47 Typical High $467.74 | Professional | None (both parts) | $194.98 | $245.47 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $43.65 | $48.98 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $194.98 Typical High $398.11 | Professional | TC · Technical part | $151.36 | $194.98 | $398.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $281.84 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $281.84 | $316.23 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $56.23 Typical High $61.66 | Facility | None | $52.48 | $56.23 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $239.88 Typical High $602.56 | Professional | None (both parts) | $223.87 | $239.88 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $107.15 | Professional | 26 · Professional part | $40.74 | $53.70 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $186.21 Typical High $501.19 | Professional | TC · Technical part | $181.97 | $186.21 | $501.19 |
Blue Shield Setting Facility Modifier None Typical Low $239.88 Median $1,174.90 Typical High $2,089.30 | Facility | None | $239.88 | $1,174.90 | $2,089.30 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $257.04 Median $371.54 Typical High $562.34 | Professional | None (both parts) | $257.04 | $371.54 | $562.34 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $87.10 | Professional | 26 · Professional part | $40.74 | $58.88 | $87.10 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $309.03 Typical High $478.63 | Professional | TC · Technical part | $213.80 | $309.03 | $478.63 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $416.87 Typical High $501.19 | Professional | None (both parts) | $295.12 | $416.87 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $812.83 Typical High $5,495.41 | Facility | None | $416.87 | $812.83 | $5,495.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $588.84 | Professional | None (both parts) | $288.40 | $346.74 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $51.29 Typical High $87.10 | Professional | 26 · Professional part | $46.77 | $51.29 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $295.12 Typical High $501.19 | Professional | TC · Technical part | $239.88 | $295.12 | $501.19 |
Contra Costa Health Setting Professional Modifier None Typical Low $194.98 Median $371.54 Typical High $446.68 | Professional | None | $194.98 | $371.54 | $446.68 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $63.10 | Professional | 26 · Professional part | $40.74 | $57.54 | $63.10 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $316.23 Typical High $380.19 | Professional | TC · Technical part | $154.88 | $316.23 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $338.84 Typical High $691.83 | Professional | None | $281.84 | $338.84 | $691.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $63.10 Typical High $141.25 | Professional | 26 · Professional part | $46.77 | $63.10 | $141.25 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $363.08 Typical High $851.14 | Professional | TC · Technical part | $251.19 | $363.08 | $851.14 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,344.23 Typical High $2,344.23 | Professional | None (both parts) | $1,949.84 | $2,344.23 | $2,344.23 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $489.78 Typical High $588.84 | Professional | 26 · Professional part | $489.78 | $489.78 | $588.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $1,949.84 Typical High $1,949.84 | Professional | TC · Technical part | $1,698.24 | $1,949.84 | $1,949.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $309.03 Typical High $371.54 | Professional | None (both parts) | $66.07 | $309.03 | $371.54 |
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 $288.40 Median $616.60 Typical High $3,981.07 | Facility | None | $288.40 | $616.60 | $3,981.07 |
Providence Setting Professional Modifier None (both parts) Typical Low $295.12 Median $346.74 Typical High $575.44 | Professional | None (both parts) | $295.12 | $346.74 | $575.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $51.29 Typical High $75.86 | Professional | 26 · Professional part | $46.77 | $51.29 | $75.86 |
Providence Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $295.12 Typical High $467.74 | Professional | TC · Technical part | $251.19 | $295.12 | $467.74 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None (both parts) | $912.01 | $912.01 | $912.01 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $154.88 | $154.88 | $154.88 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $758.58 | $758.58 | $758.58 |
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 $208.93 Median $295.12 Typical High $512.86 | Professional | None (both parts) | $208.93 | $295.12 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $47.86 Typical High $85.11 | Professional | 26 · Professional part | $36.31 | $47.86 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $251.19 Typical High $426.58 | Professional | TC · Technical part | $169.82 | $251.19 | $426.58 |
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 $95.50 Median $102.33 Typical High $123.03 | Professional | 52 · Reduced service | $95.50 | $102.33 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $41.69 Typical High $48.98 | Professional | 53 · Discontinued | $38.02 | $41.69 | $48.98 |
Where California sits
The same service costs 3.0 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· 25th of 51
$316
AK $646UT $214
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.