How much rates vary
Facilitymedian $708 · 10th to 90th $214 to $1,905Professionalmedian $240 · 10th to 90th $170 to $1,445
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 $223.87 Median $501.19 Typical High $707.95 | Facility | None | $223.87 | $501.19 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $204.17 | $245.47 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.70 Typical High $36.31 | Professional | 26 · Professional part | $23.44 | $25.70 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $218.78 Typical High $323.59 | Professional | TC · Technical part | $177.83 | $218.78 | $323.59 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.44 Median $25.12 Typical High $27.54 | Facility | None | $23.44 | $25.12 | $27.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $213.80 Typical High $426.58 | Professional | None (both parts) | $186.21 | $213.80 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $63.10 | Professional | 26 · Professional part | $21.38 | $23.99 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $190.55 Typical High $363.08 | Professional | TC · Technical part | $165.96 | $190.55 | $363.08 |
Blue Shield Setting Facility Modifier None Typical Low $162.18 Median $977.24 Typical High $1,778.28 | Facility | None | $162.18 | $977.24 | $1,778.28 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $177.83 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $177.83 | $251.19 | $389.05 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.90 Typical High $45.71 | Professional | 26 · Professional part | $20.89 | $30.90 | $45.71 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $154.88 | $223.87 | $346.74 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $251.19 Typical High $275.42 | Professional | None (both parts) | $181.97 | $251.19 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $758.58 Typical High $5,495.41 | Facility | None | $281.84 | $758.58 | $5,495.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $229.09 Typical High $380.19 | Professional | None (both parts) | $177.83 | $229.09 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.92 Typical High $46.77 | Professional | 26 · Professional part | $23.99 | $26.92 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $204.17 Typical High $338.84 | Professional | TC · Technical part | $151.36 | $204.17 | $338.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $107.15 Median $245.47 Typical High $269.15 | Professional | None | $107.15 | $245.47 | $269.15 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.84 Typical High $39.81 | Professional | 26 · Professional part | $26.30 | $28.84 | $39.81 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $218.78 Typical High $239.88 | Professional | TC · Technical part | $74.13 | $218.78 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $208.93 Typical High $436.52 | Professional | None | $173.78 | $208.93 | $436.52 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $70.79 | Professional | 26 · Professional part | $23.44 | $31.62 | $70.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $229.09 Typical High $524.81 | Professional | TC · Technical part | $158.49 | $229.09 | $524.81 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,445.44 Typical High $1,479.11 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $1,479.11 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $309.03 | $309.03 | $309.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,230.27 Typical High $1,318.26 | Professional | TC · Technical part | $1,230.27 | $1,230.27 | $1,318.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $33.88 | $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 $223.87 Median $467.74 Typical High $4,570.88 | Facility | None | $223.87 | $467.74 | $4,570.88 |
Providence Setting Professional Modifier None (both parts) Typical Low $177.83 Median $229.09 Typical High $371.54 | Professional | None (both parts) | $177.83 | $229.09 | $371.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $40.74 | Professional | 26 · Professional part | $23.99 | $26.30 | $40.74 |
Providence Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $199.53 Typical High $302.00 | Professional | TC · Technical part | $154.88 | $199.53 | $302.00 |
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 $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 $467.74 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $467.74 | $467.74 | $467.74 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $549.54 | Facility | None | $354.81 | $354.81 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $186.21 Typical High $323.59 | Professional | None (both parts) | $125.89 | $186.21 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $24.55 Typical High $44.67 | Professional | 26 · Professional part | $19.05 | $24.55 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $162.18 Typical High $281.84 | Professional | TC · Technical part | $104.71 | $162.18 | $281.84 |
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 $89.13 Median $112.20 Typical High $131.83 | Professional | 52 · Reduced service | $89.13 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $44.67 Typical High $53.70 | Professional | 53 · Discontinued | $36.31 | $44.67 | $53.70 |
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
$240
AK $417UT $126
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.