How much rates vary
Facilitymedian $457 · 10th to 90th $138 to $1,445Professionalmedian $155 · 10th to 90th $117 to $1,047
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 $117.49 Median $501.19 Typical High $707.95 | Facility | None | $117.49 | $501.19 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $109.65 | $138.04 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $35.48 | Professional | 26 · Professional part | $14.45 | $17.78 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $112.20 Typical High $190.55 | Professional | TC · Technical part | $95.50 | $112.20 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $234.42 | Professional | None (both parts) | $165.96 | $223.87 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $16.22 Typical High $17.78 | Facility | None | $15.14 | $16.22 | $17.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $120.23 Typical High $316.23 | Professional | None (both parts) | $112.20 | $120.23 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $45.71 | Professional | 26 · Professional part | $15.49 | $15.49 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $104.71 Typical High $269.15 | Professional | TC · Technical part | $91.20 | $104.71 | $269.15 |
Blue Shield Setting Facility Modifier None Typical Low $147.91 Median $758.58 Typical High $1,348.96 | Facility | None | $147.91 | $758.58 | $1,348.96 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $125.89 | $181.97 | $288.40 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.62 Typical High $28.18 | Professional | 26 · Professional part | $12.88 | $18.62 | $28.18 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $165.96 Typical High $257.04 | Professional | TC · Technical part | $114.82 | $165.96 | $257.04 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $123.03 | $181.97 | $213.80 |
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 $134.90 Median $177.83 Typical High $281.84 | Professional | None (both parts) | $134.90 | $177.83 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $24.55 Typical High $42.66 | Professional | 26 · Professional part | $15.49 | $24.55 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $154.88 Typical High $251.19 | Professional | TC · Technical part | $109.65 | $154.88 | $251.19 |
Contra Costa Health Setting Professional Modifier None Typical Low $83.18 Median $162.18 Typical High $194.98 | Professional | None | $83.18 | $162.18 | $194.98 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $26.30 Typical High $30.20 | Professional | 26 · Professional part | $17.38 | $26.30 | $30.20 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $138.04 Typical High $165.96 | Professional | TC · Technical part | $66.07 | $138.04 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $316.23 | Professional | None | $125.89 | $154.88 | $316.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $67.61 | Professional | 26 · Professional part | $22.91 | $30.90 | $67.61 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $162.18 Typical High $371.54 | Professional | TC · Technical part | $109.65 | $162.18 | $371.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,047.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $208.93 | $208.93 | $208.93 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $954.99 | Professional | TC · Technical part | $851.14 | $851.14 | $954.99 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $134.90 Typical High $169.82 | Professional | None (both parts) | $33.88 | $134.90 | $169.82 |
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 $151.36 Median $295.12 Typical High $3,630.78 | Facility | None | $151.36 | $295.12 | $3,630.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $134.90 Median $177.83 Typical High $275.42 | Professional | None (both parts) | $134.90 | $177.83 | $275.42 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $15.49 | $23.99 | $38.02 |
Providence Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $151.36 Typical High $229.09 | Professional | TC · Technical part | $109.65 | $151.36 | $229.09 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
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 $354.81 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $354.81 | $354.81 | $354.81 |
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 $97.72 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $97.72 | $141.25 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $21.88 Typical High $42.66 | Professional | 26 · Professional part | $14.79 | $21.88 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $123.03 Typical High $208.93 | Professional | TC · Technical part | $79.43 | $123.03 | $208.93 |
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 $56.23 Median $58.88 Typical High $69.18 | Professional | 52 · Reduced service | $56.23 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.44 Typical High $27.54 | Professional | 53 · Discontinued | $22.39 | $23.44 | $27.54 |
Where California sits
The same service costs 3.2 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· 23rd of 51
$158
AK $302UT $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.