How much rates vary
Facilitymedian $417 · 10th to 90th $115 to $1,000Professionalmedian $123 · 10th to 90th $89 to $724
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 $114.82 Median $489.78 Typical High $707.95 | Facility | None | $114.82 | $489.78 | $707.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $691.83 | Facility | TC · Technical part | $104.71 | $125.89 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $194.98 | Professional | None (both parts) | $95.50 | $123.03 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.59 Typical High $19.05 | Professional | 26 · Professional part | $11.48 | $12.59 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $173.78 | Professional | TC · Technical part | $85.11 | $109.65 | $173.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $81.28 Typical High $87.10 | Professional | None (both parts) | $77.62 | $81.28 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $12.02 Typical High $13.49 | Facility | None | $11.48 | $12.02 | $13.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $95.50 | $114.82 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.75 Typical High $30.90 | Professional | 26 · Professional part | $10.96 | $11.75 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $102.33 Typical High $199.53 | Professional | TC · Technical part | $85.11 | $102.33 | $199.53 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $512.86 Typical High $912.01 | Facility | None | $100.00 | $512.86 | $912.01 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $97.72 | $141.25 | $218.78 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.14 Typical High $21.88 | Professional | 26 · Professional part | $10.23 | $15.14 | $21.88 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $87.10 | $125.89 | $194.98 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $134.90 | Professional | None (both parts) | $93.33 | $125.89 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $467.74 Typical High $5,495.41 | Facility | None | $169.82 | $467.74 | $5,495.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $123.03 Typical High $208.93 | Professional | None (both parts) | $91.20 | $123.03 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.88 Typical High $23.44 | Professional | 26 · Professional part | $12.02 | $12.88 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $79.43 | $109.65 | $190.55 |
Contra Costa Health Setting Professional Modifier None Typical Low $52.48 Median $123.03 Typical High $134.90 | Professional | None | $52.48 | $123.03 | $134.90 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.13 Typical High $19.95 | Professional | 26 · Professional part | $12.88 | $14.13 | $19.95 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $109.65 Typical High $120.23 | Professional | TC · Technical part | $35.48 | $109.65 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $213.80 | Professional | None | $87.10 | $104.71 | $213.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.85 Typical High $34.67 | Professional | 26 · Professional part | $11.75 | $15.85 | $34.67 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $117.49 Typical High $269.15 | Professional | TC · Technical part | $79.43 | $117.49 | $269.15 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $794.33 | Professional | None (both parts) | $724.44 | $724.44 | $794.33 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $275.42 | $275.42 | $275.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $630.96 Typical High $724.44 | Professional | TC · Technical part | $630.96 | $630.96 | $724.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $16.98 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $16.98 | $95.50 | $112.20 |
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 $138.04 Median $316.23 Typical High $3,630.78 | Facility | None | $138.04 | $316.23 | $3,630.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $91.20 Median $123.03 Typical High $194.98 | Professional | None (both parts) | $91.20 | $123.03 | $194.98 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.88 Typical High $19.95 | Professional | 26 · Professional part | $12.02 | $12.88 | $19.95 |
Providence Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $162.18 | Professional | TC · Technical part | $79.43 | $107.15 | $162.18 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $40.74 | $40.74 | $40.74 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $245.47 | $245.47 | $245.47 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $338.84 | Facility | None | $218.78 | $218.78 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $64.57 | $97.72 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.30 Typical High $22.91 | Professional | 26 · Professional part | $9.77 | $12.30 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $85.11 Typical High $151.36 | Professional | TC · Technical part | $54.95 | $85.11 | $151.36 |
3 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 $46.77 Median $57.54 Typical High $69.18 | Professional | 52 · Reduced service | $46.77 | $57.54 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $22.91 Typical High $27.54 | Professional | 53 · Discontinued | $18.62 | $22.91 | $27.54 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $77.62 Median $87.10 Typical High $89.13 | Professional | 59 · Distinct service | $77.62 | $87.10 | $89.13 |
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· 14th of 51
$123
AK $209UT $63.10
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.