How much rates vary
Facilitymedian $490 · 10th to 90th $145 to $1,778Professionalmedian $174 · 10th to 90th $120 to $1,122
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 $120.23 Median $407.38 Typical High $707.95 | Facility | None | $120.23 | $407.38 | $707.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $676.08 | Facility | TC · Technical part | $102.33 | $123.03 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $257.04 | Professional | None (both parts) | $120.23 | $144.54 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.39 Typical High $34.67 | Professional | 26 · Professional part | $18.62 | $22.39 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $123.03 Typical High $213.80 | Professional | TC · Technical part | $100.00 | $123.03 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $194.98 | Professional | None (both parts) | $141.25 | $154.88 | $194.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $39.81 | Professional | 26 · Professional part | $32.36 | $32.36 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $20.89 Typical High $22.91 | Facility | None | $19.50 | $20.89 | $22.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $354.81 | Professional | None (both parts) | $104.71 | $123.03 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $45.71 | Professional | 26 · Professional part | $19.95 | $19.95 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $309.03 | Professional | TC · Technical part | $95.50 | $104.71 | $309.03 |
Blue Shield Setting Facility Modifier None Typical Low $147.91 Median $912.01 Typical High $1,659.59 | Facility | None | $147.91 | $912.01 | $1,659.59 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $331.13 | Professional | None (both parts) | $147.91 | $213.80 | $331.13 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.99 Typical High $35.48 | Professional | 26 · Professional part | $16.22 | $23.99 | $35.48 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $190.55 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $190.55 | $295.12 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $194.98 Typical High $218.78 | Professional | None (both parts) | $125.89 | $194.98 | $218.78 |
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 $158.49 Median $208.93 Typical High $331.13 | Professional | None (both parts) | $158.49 | $208.93 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $24.55 Typical High $42.66 | Professional | 26 · Professional part | $19.50 | $24.55 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $181.97 Typical High $295.12 | Professional | TC · Technical part | $134.90 | $181.97 | $295.12 |
Contra Costa Health Setting Professional Modifier None Typical Low $85.11 Median $173.78 Typical High $208.93 | Professional | None | $85.11 | $173.78 | $208.93 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $24.55 Typical High $29.51 | Professional | 26 · Professional part | $11.75 | $24.55 | $29.51 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $151.36 Typical High $177.83 | Professional | TC · Technical part | $72.44 | $151.36 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $177.83 Typical High $354.81 | Professional | None | $144.54 | $177.83 | $354.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.20 Typical High $66.07 | Professional | 26 · Professional part | $22.39 | $30.20 | $66.07 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $190.55 Typical High $436.52 | Professional | TC · Technical part | $131.83 | $190.55 | $436.52 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,258.93 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,258.93 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $245.47 | $245.47 | $245.47 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $933.25 Typical High $1,148.15 | Professional | TC · Technical part | $933.25 | $933.25 | $1,148.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $162.18 Typical High $194.98 | Professional | None (both parts) | $33.11 | $162.18 | $194.98 |
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 $154.88 Median $309.03 Typical High $3,630.78 | Facility | None | $154.88 | $309.03 | $3,630.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $158.49 Median $204.17 Typical High $323.59 | Professional | None (both parts) | $158.49 | $204.17 | $323.59 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $37.15 | Professional | 26 · Professional part | $19.50 | $23.99 | $37.15 |
Providence Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $181.97 Typical High $263.03 | Professional | TC · Technical part | $134.90 | $181.97 | $263.03 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $77.62 | $77.62 | $77.62 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $426.58 | $426.58 | $426.58 |
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 $114.82 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $114.82 | $165.96 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.39 Typical High $42.66 | Professional | 26 · Professional part | $17.78 | $22.39 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $144.54 Typical High $251.19 | Professional | TC · Technical part | $95.50 | $144.54 | $251.19 |
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 $60.26 Median $60.26 Typical High $70.79 | Professional | 52 · Reduced service | $60.26 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $28.84 | Professional | 53 · Discontinued | $23.99 | $23.99 | $28.84 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 59 · Distinct service | $128.82 | $128.82 | $128.82 |
Where California sits
The same service costs 3.7 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
$174
AK $355UT $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.