How much rates vary
Facilitymedian $148 · 10th to 90th $42 to $331Professionalmedian $36 · 10th to 90th $28 to $71
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 $36.31 Median $42.66 Typical High $120.23 | Facility | None | $36.31 | $42.66 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $33.88 | $38.90 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $13.49 | Professional | 26 · Professional part | $7.94 | $8.71 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $29.51 Typical High $42.66 | Professional | TC · Technical part | $25.12 | $29.51 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.92 Median $28.84 Typical High $33.88 | Professional | None (both parts) | $26.92 | $28.84 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 26 · Professional part | $8.91 | $8.91 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.13 Median $8.71 Typical High $9.55 | Facility | None | $8.13 | $8.71 | $9.55 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $33.11 Typical High $61.66 | Professional | None (both parts) | $32.36 | $33.11 | $61.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $16.60 | Professional | 26 · Professional part | $8.13 | $8.13 | $16.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.70 Typical High $41.69 | Professional | TC · Technical part | $25.12 | $25.70 | $41.69 |
Blue Shield Setting Facility Modifier None Typical Low $66.07 Median $194.98 Typical High $331.13 | Facility | None | $66.07 | $194.98 | $331.13 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $25.12 Median $35.48 Typical High $46.77 | Professional | None (both parts) | $25.12 | $35.48 | $46.77 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.33 Typical High $10.72 | Professional | 26 · Professional part | $6.46 | $9.33 | $10.72 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $26.30 Typical High $36.31 | Professional | TC · Technical part | $18.62 | $26.30 | $36.31 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $44.67 Typical High $51.29 | Professional | None (both parts) | $35.48 | $44.67 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $169.82 Typical High $588.84 | Facility | None | $31.62 | $169.82 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $39.81 Typical High $58.88 | Professional | None (both parts) | $33.88 | $39.81 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.71 Typical High $13.18 | Professional | 26 · Professional part | $8.32 | $8.71 | $13.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $45.71 | Professional | TC · Technical part | $25.70 | $30.20 | $45.71 |
Contra Costa Health Setting Professional Modifier None Typical Low $24.55 Median $39.81 Typical High $43.65 | Professional | None | $24.55 | $39.81 | $43.65 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.77 Typical High $11.75 | Professional | 26 · Professional part | $9.55 | $9.77 | $11.75 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $29.51 Typical High $33.11 | Professional | TC · Technical part | $14.79 | $29.51 | $33.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.20 Median $33.88 Typical High $63.10 | Professional | None | $30.20 | $33.88 | $63.10 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.23 Typical High $20.42 | Professional | 26 · Professional part | $8.32 | $10.23 | $20.42 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $29.51 Typical High $58.88 | Professional | TC · Technical part | $23.44 | $29.51 | $58.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $138.04 | $138.04 | $138.04 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $138.04 | $186.21 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $11.48 Median $25.70 Typical High $38.02 | Professional | None (both parts) | $11.48 | $25.70 | $38.02 |
Optum Setting Professional Modifier None (both parts) Typical Low $30.90 Median $54.95 Typical High $70.79 | Professional | None (both parts) | $30.90 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $36.31 Median $54.95 Typical High $162.18 | Facility | None | $36.31 | $54.95 | $162.18 |
Providence Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.90 Typical High $56.23 | Professional | None (both parts) | $33.88 | $38.90 | $56.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.71 Typical High $12.59 | Professional | 26 · Professional part | $8.13 | $8.71 | $12.59 |
Providence Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $43.65 | Professional | TC · Technical part | $25.70 | $30.20 | $43.65 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $27.54 | $27.54 | $27.54 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $91.20 | $91.20 | $91.20 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $549.54 | Facility | None | $354.81 | $354.81 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.11 Typical High $57.54 | Professional | None (both parts) | $25.70 | $33.11 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.32 Typical High $13.18 | Professional | 26 · Professional part | $6.46 | $8.32 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.12 Typical High $45.71 | Professional | TC · Technical part | $19.05 | $25.12 | $45.71 |
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 $16.22 Median $18.20 Typical High $21.38 | Professional | 52 · Reduced service | $16.22 | $18.20 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.24 Typical High $8.51 | Professional | 53 · Discontinued | $6.46 | $7.24 | $8.51 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 59 · Distinct service | $28.84 | $28.84 | $28.84 |
Where California sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 25th of 51
$37.15
MN $67.61TX $26.92
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.