How much rates vary
Facilitymedian $240 · 10th to 90th $63 to $617Professionalmedian $63 · 10th to 90th $44 to $120
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 $63.10 Median $81.28 Typical High $1,071.52 | Facility | None | $63.10 | $81.28 | $1,071.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.80 Median $16.60 Typical High $27.54 | Facility | 26 · Professional part | $13.80 | $16.60 | $27.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $91.20 | Facility | TC · Technical part | $48.98 | $58.88 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $66.07 Typical High $95.50 | Professional | None (both parts) | $53.70 | $66.07 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.14 Typical High $20.42 | Professional | 26 · Professional part | $12.02 | $15.14 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $51.29 Typical High $74.13 | Professional | TC · Technical part | $41.69 | $51.29 | $74.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $39.81 Median $42.66 Typical High $50.12 | Professional | None (both parts) | $39.81 | $42.66 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $9.33 | $10.00 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $15.49 Typical High $16.98 | Facility | None | $14.45 | $15.49 | $16.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $58.88 Typical High $91.20 | Professional | None (both parts) | $43.65 | $58.88 | $91.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.79 Typical High $28.18 | Professional | 26 · Professional part | $10.96 | $14.79 | $28.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $75.86 | Professional | TC · Technical part | $43.65 | $43.65 | $75.86 |
Blue Shield Setting Facility Modifier None Typical Low $102.33 Median $331.13 Typical High $549.54 | Facility | None | $102.33 | $331.13 | $549.54 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $41.69 Median $58.88 Typical High $77.62 | Professional | None (both parts) | $41.69 | $58.88 | $77.62 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.60 Typical High $19.05 | Professional | 26 · Professional part | $11.75 | $16.60 | $19.05 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $42.66 Typical High $58.88 | Professional | TC · Technical part | $30.20 | $42.66 | $58.88 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $66.07 Typical High $93.33 | Professional | None (both parts) | $53.70 | $66.07 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $323.59 Typical High $1,174.90 | Facility | None | $44.67 | $323.59 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $56.23 | $66.07 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.45 Typical High $20.42 | Professional | 26 · Professional part | $12.88 | $14.45 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $52.48 Typical High $77.62 | Professional | TC · Technical part | $42.66 | $52.48 | $77.62 |
Contra Costa Health Setting Professional Modifier None Typical Low $44.67 Median $58.88 Typical High $64.57 | Professional | None | $44.67 | $58.88 | $64.57 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.18 Typical High $19.50 | Professional | 26 · Professional part | $12.02 | $13.18 | $19.50 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $46.77 Typical High $51.29 | Professional | TC · Technical part | $26.92 | $46.77 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $95.50 | Professional | None | $44.67 | $50.12 | $95.50 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.59 Typical High $25.12 | Professional | 26 · Professional part | $10.47 | $12.59 | $25.12 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $46.77 Typical High $91.20 | Professional | TC · Technical part | $36.31 | $46.77 | $91.20 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $630.96 | $630.96 | $630.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $229.09 | $229.09 | $229.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $288.40 Typical High $288.40 | Professional | TC · Technical part | $269.15 | $288.40 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.45 Median $38.90 Typical High $53.70 | Professional | None (both parts) | $14.45 | $38.90 | $53.70 |
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 $63.10 Median $89.13 Typical High $309.03 | Facility | None | $63.10 | $89.13 | $309.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $56.23 Median $66.07 Typical High $95.50 | Professional | None (both parts) | $56.23 | $66.07 | $95.50 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.13 Typical High $20.42 | Professional | 26 · Professional part | $12.88 | $14.13 | $20.42 |
Providence Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $52.48 Typical High $74.13 | Professional | TC · Technical part | $42.66 | $52.48 | $74.13 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $154.88 | $154.88 | $154.88 |
United Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $933.25 | Facility | None | $616.60 | $616.60 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $56.23 Typical High $97.72 | Professional | None (both parts) | $41.69 | $56.23 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.18 Typical High $20.89 | Professional | 26 · Professional part | $10.00 | $13.18 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $79.43 | Professional | TC · Technical part | $31.62 | $42.66 | $79.43 |
4 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 $25.70 Median $31.62 Typical High $37.15 | Professional | 52 · Reduced service | $25.70 | $31.62 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.59 Typical High $14.79 | Professional | 53 · Discontinued | $10.72 | $12.59 | $14.79 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $39.81 Median $44.67 Typical High $45.71 | Professional | 59 · Distinct service | $39.81 | $44.67 | $45.71 |
Ambetter Setting Professional Modifier SC · Medically necessary Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | SC · Medically necessary | $44.67 | $44.67 | $44.67 |
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· 17th of 51
$63.10
MN $105UT $31.62
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.