How much rates vary
Facilitymedian $407 · 10th to 90th $138 to $1,479Professionalmedian $151 · 10th to 90th $117 to $1,000
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 $125.89 Median $199.53 Typical High $707.95 | Facility | None | $125.89 | $199.53 | $707.95 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $26.30 Typical High $38.02 | Facility | 26 · Professional part | $21.38 | $26.30 | $38.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $141.25 Typical High $741.31 | Facility | TC · Technical part | $102.33 | $141.25 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $218.78 | Professional | None (both parts) | $117.49 | $134.90 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $34.67 | Professional | 26 · Professional part | $20.89 | $23.44 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $112.20 Typical High $186.21 | Professional | TC · Technical part | $95.50 | $112.20 | $186.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $120.23 Typical High $134.90 | Professional | None (both parts) | $107.15 | $120.23 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.38 Typical High $30.20 | Professional | 26 · Professional part | $19.50 | $21.38 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $23.99 Typical High $26.92 | Facility | None | $22.91 | $23.99 | $26.92 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $323.59 | Professional | None (both parts) | $107.15 | $125.89 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.44 Typical High $50.12 | Professional | 26 · Professional part | $19.05 | $23.44 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $269.15 | Professional | TC · Technical part | $89.13 | $104.71 | $269.15 |
Blue Shield Setting Facility Modifier None Typical Low $151.36 Median $758.58 Typical High $1,380.38 | Facility | None | $151.36 | $758.58 | $1,380.38 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $245.47 | Professional | None (both parts) | $120.23 | $169.82 | $245.47 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $29.51 Typical High $41.69 | Professional | 26 · Professional part | $19.05 | $29.51 | $41.69 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $141.25 Typical High $204.17 | Professional | TC · Technical part | $97.72 | $141.25 | $204.17 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $177.83 Typical High $218.78 | Professional | None (both parts) | $125.89 | $177.83 | $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 $125.89 Median $169.82 Typical High $288.40 | Professional | None (both parts) | $125.89 | $169.82 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $41.69 | Professional | 26 · Professional part | $21.88 | $23.44 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $147.91 Typical High $251.19 | Professional | TC · Technical part | $102.33 | $147.91 | $251.19 |
Contra Costa Health Setting Professional Modifier None Typical Low $85.11 Median $158.49 Typical High $190.55 | Professional | None | $85.11 | $158.49 | $190.55 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $22.91 Typical High $27.54 | Professional | 26 · Professional part | $13.49 | $22.91 | $27.54 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $134.90 Typical High $162.18 | Professional | TC · Technical part | $70.79 | $134.90 | $162.18 |
HealthNet Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $100.00 | $125.89 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $147.91 Typical High $295.12 | Professional | None | $120.23 | $147.91 | $295.12 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $27.54 Typical High $61.66 | Professional | 26 · Professional part | $20.42 | $27.54 | $61.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $154.88 Typical High $363.08 | Professional | TC · Technical part | $107.15 | $154.88 | $363.08 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,071.52 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,071.52 |
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 $831.76 Median $831.76 Typical High $954.99 | Professional | TC · Technical part | $831.76 | $831.76 | $954.99 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $131.83 Typical High $162.18 | Professional | None (both parts) | $30.20 | $131.83 | $162.18 |
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 $302.00 Typical High $3,630.78 | Facility | None | $151.36 | $302.00 | $3,630.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $275.42 | Professional | None (both parts) | $125.89 | $169.82 | $275.42 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $36.31 | Professional | 26 · Professional part | $21.88 | $23.44 | $36.31 |
Providence Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $147.91 Typical High $213.80 | Professional | TC · Technical part | $102.33 | $147.91 | $213.80 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $338.84 | $338.84 | $338.84 |
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 $93.33 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $93.33 | $138.04 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.88 Typical High $39.81 | Professional | 26 · Professional part | $16.98 | $21.88 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $114.82 Typical High $204.17 | Professional | TC · Technical part | $75.86 | $114.82 | $204.17 |
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 $61.66 Typical High $72.44 | Professional | 52 · Reduced service | $56.23 | $61.66 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $24.55 Typical High $29.51 | Professional | 53 · Discontinued | $22.39 | $24.55 | $29.51 |
Where California sits
The same service costs 4.0 times more in Minnesota 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· 24th of 51
$151
MN $380UT $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.