How much rates vary
Facilitymedian $562 · 10th to 90th $275 to $2,455Professionalmedian $309 · 10th to 90th $245 to $1,622
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 $275.42 Median $501.19 Typical High $707.95 | Facility | None | $275.42 | $501.19 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $302.00 Typical High $436.52 | Professional | None (both parts) | $269.15 | $302.00 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $57.54 | Professional | 26 · Professional part | $36.31 | $39.81 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $229.09 | $263.03 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $40.74 Typical High $45.71 | Facility | None | $38.90 | $40.74 | $45.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $295.12 Typical High $676.08 | Professional | None (both parts) | $245.47 | $295.12 | $676.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $87.10 | Professional | 26 · Professional part | $35.48 | $38.90 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $562.34 | Professional | TC · Technical part | $213.80 | $257.04 | $562.34 |
Blue Shield Setting Facility Modifier None Typical Low $194.98 Median $501.19 Typical High $891.25 | Facility | None | $194.98 | $501.19 | $891.25 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $204.17 Median $316.23 Typical High $467.74 | Professional | None (both parts) | $204.17 | $316.23 | $467.74 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $61.66 | Professional | 26 · Professional part | $27.54 | $41.69 | $61.66 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $275.42 Typical High $407.38 | Professional | TC · Technical part | $173.78 | $275.42 | $407.38 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $309.03 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $724.44 Typical High $5,011.87 | Facility | None | $295.12 | $724.44 | $5,011.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $316.23 Typical High $524.81 | Professional | None (both parts) | $275.42 | $316.23 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $70.79 | Professional | 26 · Professional part | $38.02 | $42.66 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $269.15 Typical High $467.74 | Professional | TC · Technical part | $234.42 | $269.15 | $467.74 |
Contra Costa Health Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $457.09 | Professional | None | $245.47 | $371.54 | $457.09 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $245.47 | Professional | 26 · Professional part | $39.81 | $43.65 | $245.47 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $323.59 Typical High $398.11 | Professional | TC · Technical part | $245.47 | $323.59 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $316.23 Typical High $630.96 | Professional | None | $257.04 | $316.23 | $630.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $107.15 | Professional | 26 · Professional part | $36.31 | $48.98 | $107.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $346.74 Typical High $794.33 | Professional | TC · Technical part | $245.47 | $346.74 | $794.33 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $2,187.76 Typical High $2,187.76 | Professional | None (both parts) | $1,621.81 | $2,187.76 | $2,187.76 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $234.42 | $316.23 | $316.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,862.09 Typical High $1,862.09 | Professional | TC · Technical part | $1,380.38 | $1,862.09 | $1,862.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $281.84 Typical High $338.84 | Professional | None (both parts) | $54.95 | $281.84 | $338.84 |
Providence Setting Facility Modifier None Typical Low $295.12 Median $630.96 Typical High $5,011.87 | Facility | None | $295.12 | $630.96 | $5,011.87 |
Providence Setting Professional Modifier None (both parts) Typical Low $275.42 Median $309.03 Typical High $524.81 | Professional | None (both parts) | $275.42 | $309.03 | $524.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $61.66 | Professional | 26 · Professional part | $38.02 | $41.69 | $61.66 |
Providence Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $257.04 Typical High $426.58 | Professional | TC · Technical part | $234.42 | $257.04 | $426.58 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $891.25 | $891.25 | $891.25 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | TC · Technical part | $776.25 | $776.25 | $776.25 |
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 $204.17 Median $269.15 Typical High $501.19 | Professional | None (both parts) | $204.17 | $269.15 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $29.51 | $39.81 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $229.09 Typical High $426.58 | Professional | TC · Technical part | $173.78 | $229.09 | $426.58 |
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 $134.90 Median $138.04 Typical High $154.88 | Professional | 52 · Reduced service | $134.90 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $54.95 Typical High $61.66 | Professional | 53 · Discontinued | $53.70 | $54.95 | $61.66 |
Where California sits
The same service costs 3.1 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
$309
AK $631UT $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.