How much rates vary
Facilitymedian $490 · 10th to 90th $135 to $1,778Professionalmedian $174 · 10th to 90th $115 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 $114.82 Median $501.19 Typical High $707.95 | Facility | None | $114.82 | $501.19 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $251.19 | Professional | None (both parts) | $107.15 | $125.89 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.18 Typical High $33.88 | Professional | 26 · Professional part | $11.75 | $13.18 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $112.20 Typical High $213.80 | Professional | TC · Technical part | $95.50 | $112.20 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $87.10 | $95.50 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $14.79 Typical High $16.22 | Facility | None | $13.80 | $14.79 | $16.22 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $131.83 Typical High $263.03 | Professional | None (both parts) | $125.89 | $131.83 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.13 Typical High $27.54 | Professional | 26 · Professional part | $13.80 | $14.13 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $117.49 Typical High $229.09 | Professional | TC · Technical part | $104.71 | $117.49 | $229.09 |
Blue Shield Setting Facility Modifier None Typical Low $151.36 Median $912.01 Typical High $1,659.59 | Facility | None | $151.36 | $912.01 | $1,659.59 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $257.04 | Professional | None (both parts) | $128.82 | $186.21 | $257.04 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.79 Typical High $17.78 | Professional | 26 · Professional part | $10.23 | $14.79 | $17.78 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $169.82 Typical High $239.88 | Professional | TC · Technical part | $120.23 | $169.82 | $239.88 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $102.33 | $194.98 | $194.98 |
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 $165.96 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $165.96 | $199.53 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $23.99 Typical High $34.67 | Professional | 26 · Professional part | $12.30 | $23.99 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $186.21 Typical High $251.19 | Professional | TC · Technical part | $141.25 | $186.21 | $251.19 |
Contra Costa Health Setting Professional Modifier None Typical Low $72.44 Median $173.78 Typical High $190.55 | Professional | None | $72.44 | $173.78 | $190.55 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $23.99 Typical High $26.30 | Professional | 26 · Professional part | $10.00 | $23.99 | $26.30 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $151.36 Typical High $165.96 | Professional | TC · Technical part | $61.66 | $151.36 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $169.82 Typical High $354.81 | Professional | None | $151.36 | $169.82 | $354.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $54.95 | Professional | 26 · Professional part | $21.88 | $27.54 | $54.95 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $181.97 Typical High $389.05 | Professional | TC · Technical part | $131.83 | $181.97 | $389.05 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,230.27 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,230.27 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $204.17 | $204.17 | $204.17 |
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 $33.88 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $33.88 | $165.96 | $199.53 |
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 $316.23 Typical High $3,630.78 | Facility | None | $151.36 | $316.23 | $3,630.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $165.96 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $165.96 | $199.53 | $281.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $21.88 Typical High $30.90 | Professional | 26 · Professional part | $12.30 | $21.88 | $30.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $245.47 | Professional | TC · Technical part | $141.25 | $177.83 | $245.47 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $524.81 | $524.81 | $524.81 |
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 $436.52 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $436.52 | $436.52 | $436.52 |
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 $117.49 Median $169.82 Typical High $275.42 | Professional | None (both parts) | $117.49 | $169.82 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $19.95 Typical High $36.31 | Professional | 26 · Professional part | $12.30 | $19.95 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $158.49 Typical High $245.47 | Professional | TC · Technical part | $100.00 | $158.49 | $245.47 |
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 $54.95 Median $57.54 Typical High $67.61 | Professional | 52 · Reduced service | $54.95 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.91 Typical High $26.92 | Professional | 53 · Discontinued | $21.88 | $22.91 | $26.92 |
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· 24th of 51
$174
AK $363UT $97.72
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.