How much rates vary
Facilitymedian $832 · 10th to 90th $269 to $2,754Professionalmedian $316 · 10th to 90th $240 to $2,239
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 $245.47 Median $501.19 Typical High $831.76 | Facility | None | $245.47 | $501.19 | $831.76 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $93.33 Typical High $151.36 | Facility | 26 · Professional part | $83.18 | $93.33 | $151.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $218.78 Typical High $1,071.52 | Facility | TC · Technical part | $162.18 | $218.78 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $245.47 | $288.40 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $60.26 | $85.11 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $194.98 Typical High $363.08 | Professional | TC · Technical part | $162.18 | $194.98 | $363.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $316.23 | Professional | None (both parts) | $257.04 | $257.04 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $77.62 Typical High $100.00 | Professional | 26 · Professional part | $48.98 | $77.62 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $95.50 Typical High $107.15 | Facility | None | $91.20 | $95.50 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $257.04 Typical High $707.95 | Professional | None (both parts) | $239.88 | $257.04 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $177.83 | Professional | 26 · Professional part | $75.86 | $91.20 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $165.96 Typical High $562.34 | Professional | TC · Technical part | $162.18 | $165.96 | $562.34 |
Blue Shield Setting Facility Modifier None Typical Low $234.42 Median $1,445.44 Typical High $2,630.27 | Facility | None | $234.42 | $1,445.44 | $2,630.27 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $239.88 Median $338.84 Typical High $501.19 | Professional | None (both parts) | $239.88 | $338.84 | $501.19 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $117.49 Typical High $165.96 | Professional | 26 · Professional part | $81.28 | $117.49 | $165.96 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $223.87 Typical High $338.84 | Professional | TC · Technical part | $158.49 | $223.87 | $338.84 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $389.05 Typical High $489.78 | Professional | None (both parts) | $281.84 | $389.05 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $851.14 Typical High $5,495.41 | Facility | None | $416.87 | $851.14 | $5,495.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $407.38 Typical High $645.65 | Professional | None (both parts) | $288.40 | $407.38 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $89.13 Typical High $138.04 | Professional | 26 · Professional part | $56.23 | $89.13 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $309.03 Typical High $512.86 | Professional | TC · Technical part | $234.42 | $309.03 | $512.86 |
Contra Costa Health Setting Professional Modifier None Typical Low $186.21 Median $346.74 Typical High $416.87 | Professional | None | $186.21 | $346.74 | $416.87 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $81.28 | Professional | 26 · Professional part | $60.26 | $66.07 | $81.28 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $288.40 Typical High $346.74 | Professional | TC · Technical part | $123.03 | $288.40 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $323.59 Typical High $660.69 | Professional | None | $269.15 | $323.59 | $660.69 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $162.18 | Professional | 26 · Professional part | $53.70 | $72.44 | $162.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $338.84 Typical High $776.25 | Professional | TC · Technical part | $229.09 | $338.84 | $776.25 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,238.72 Typical High $2,454.71 | Professional | None (both parts) | $2,238.72 | $2,238.72 | $2,454.71 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $478.63 Typical High $524.81 | Professional | 26 · Professional part | $478.63 | $478.63 | $524.81 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,819.70 Median $1,819.70 Typical High $1,905.46 | Professional | TC · Technical part | $1,819.70 | $1,819.70 | $1,905.46 |
Molina Setting Professional Modifier None (both parts) Typical Low $79.43 Median $281.84 Typical High $363.08 | Professional | None (both parts) | $79.43 | $281.84 | $363.08 |
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 $338.84 Median $676.08 Typical High $3,981.07 | Facility | None | $338.84 | $676.08 | $3,981.07 |
Providence Setting Professional Modifier None (both parts) Typical Low $288.40 Median $398.11 Typical High $630.96 | Professional | None (both parts) | $288.40 | $398.11 | $630.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $89.13 Typical High $125.89 | Professional | 26 · Professional part | $56.23 | $89.13 | $125.89 |
Providence Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $302.00 Typical High $467.74 | Professional | TC · Technical part | $234.42 | $302.00 | $467.74 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $933.25 | $933.25 | $933.25 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 26 · Professional part | $186.21 | $186.21 | $186.21 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | TC · Technical part | $741.31 | $741.31 | $741.31 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $602.56 | Facility | None | $389.05 | $389.05 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $316.23 Typical High $549.54 | Professional | None (both parts) | $213.80 | $316.23 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $43.65 | $69.18 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $245.47 Typical High $416.87 | Professional | TC · Technical part | $165.96 | $245.47 | $416.87 |
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 $112.20 Median $123.03 Typical High $144.54 | Professional | 52 · Reduced service | $112.20 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $48.98 Typical High $57.54 | Professional | 53 · Discontinued | $44.67 | $48.98 | $57.54 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 59 · Distinct service | $281.84 | $281.84 | $281.84 |
Where California sits
The same service costs 3.3 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· 27th of 51
$324
MN $676UT $204
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.