How much rates vary
Facilitymedian $468 · 10th to 90th $112 to $1,514Professionalmedian $186 · 10th to 90th $105 to $1,230
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 $95.50 Median $501.19 Typical High $707.95 | Facility | None | $95.50 | $501.19 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $104.71 Typical High $213.80 | Professional | None (both parts) | $91.20 | $104.71 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $42.66 | Professional | 26 · Professional part | $28.84 | $32.36 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $169.82 | Professional | TC · Technical part | $61.66 | $72.44 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $37.15 Typical High $41.69 | Facility | None | $35.48 | $37.15 | $41.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $112.20 Typical High $389.05 | Professional | None (both parts) | $107.15 | $112.20 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $64.57 | Professional | 26 · Professional part | $26.92 | $35.48 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $75.86 Typical High $323.59 | Professional | TC · Technical part | $74.13 | $75.86 | $323.59 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $794.33 Typical High $1,412.54 | Facility | None | $100.00 | $794.33 | $1,412.54 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $162.18 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $162.18 | $234.42 | $363.08 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.90 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $38.90 | $56.23 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $194.98 Typical High $302.00 | Professional | TC · Technical part | $134.90 | $194.98 | $302.00 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $162.18 | $213.80 | $338.84 |
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 $154.88 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $154.88 | $223.87 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $25.70 | $33.11 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $190.55 Typical High $309.03 | Professional | TC · Technical part | $128.82 | $190.55 | $309.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $128.82 Median $199.53 Typical High $229.09 | Professional | None | $128.82 | $199.53 | $229.09 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $50.12 | Professional | 26 · Professional part | $27.54 | $41.69 | $50.12 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $154.88 Typical High $181.97 | Professional | TC · Technical part | $102.33 | $154.88 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $436.52 | Professional | None | $177.83 | $213.80 | $436.52 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $112.20 | Professional | 26 · Professional part | $37.15 | $50.12 | $112.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $218.78 Typical High $501.19 | Professional | TC · Technical part | $151.36 | $218.78 | $501.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $1,348.96 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $1,348.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $302.00 Typical High $371.54 | Professional | 26 · Professional part | $302.00 | $302.00 | $371.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $933.25 Typical High $1,122.02 | Professional | TC · Technical part | $933.25 | $933.25 | $1,122.02 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $35.48 | $181.97 | $218.78 |
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 $144.54 Median $302.00 Typical High $3,630.78 | Facility | None | $144.54 | $302.00 | $3,630.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $154.88 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $154.88 | $223.87 | $346.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $50.12 | Professional | 26 · Professional part | $25.70 | $32.36 | $50.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $177.83 Typical High $275.42 | Professional | TC · Technical part | $128.82 | $177.83 | $275.42 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $457.09 | $457.09 | $457.09 |
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 $123.03 Median $181.97 Typical High $309.03 | Professional | None (both parts) | $123.03 | $181.97 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $29.51 Typical High $51.29 | Professional | 26 · Professional part | $20.42 | $29.51 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $263.03 | Professional | TC · Technical part | $104.71 | $151.36 | $263.03 |
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 $47.86 Median $47.86 Typical High $64.57 | Professional | 52 · Reduced service | $47.86 | $47.86 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $25.70 | Professional | 53 · Discontinued | $19.05 | $19.05 | $25.70 |
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· 26th of 51
$191
AK $407UT $117
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.