How much rates vary
Facilitymedian $617 · 10th to 90th $60 to $1,230Professionalmedian $65 · 10th to 90th $49 to $162
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 $60.26 Median $64.57 Typical High $69.18 | Facility | None | $60.26 | $64.57 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $66.07 Typical High $117.49 | Professional | None (both parts) | $58.88 | $66.07 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $46.77 | Professional | 26 · Professional part | $26.92 | $29.51 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $36.31 Typical High $72.44 | Professional | TC · Technical part | $32.36 | $36.31 | $72.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $34.67 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $34.67 | $125.89 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $29.51 Typical High $33.11 | Facility | None | $28.18 | $29.51 | $33.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $57.54 Typical High $117.49 | Professional | None (both parts) | $54.95 | $57.54 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $56.23 | Professional | 26 · Professional part | $28.18 | $28.18 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $69.18 | Professional | TC · Technical part | $29.51 | $29.51 | $69.18 |
Blue Shield Setting Facility Modifier None Typical Low $218.78 Median $812.83 Typical High $1,348.96 | Facility | None | $218.78 | $812.83 | $1,348.96 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $43.65 Median $63.10 Typical High $77.62 | Professional | None (both parts) | $43.65 | $63.10 | $77.62 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $32.36 Typical High $38.02 | Professional | 26 · Professional part | $22.91 | $32.36 | $38.02 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $29.51 Typical High $39.81 | Professional | TC · Technical part | $20.89 | $29.51 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $323.59 Typical High $1,174.90 | Facility | None | $70.79 | $323.59 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $64.57 Typical High $102.33 | Professional | None (both parts) | $60.26 | $64.57 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $29.51 Typical High $44.67 | Professional | 26 · Professional part | $28.18 | $29.51 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.88 Typical High $61.66 | Professional | TC · Technical part | $31.62 | $33.88 | $61.66 |
Contra Costa Health Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $109.65 | Professional | None | $91.20 | $100.00 | $109.65 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $39.81 | Professional | 26 · Professional part | $33.11 | $36.31 | $39.81 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $63.10 Typical High $69.18 | Professional | TC · Technical part | $57.54 | $63.10 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $158.49 | Professional | None | $69.18 | $79.43 | $158.49 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $64.57 | Professional | 26 · Professional part | $28.18 | $34.67 | $64.57 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $109.65 | Professional | TC · Technical part | $44.67 | $57.54 | $109.65 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $338.84 | $338.84 | $338.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $588.84 | $588.84 | $588.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.90 Median $48.98 Typical High $87.10 | Professional | None (both parts) | $38.90 | $48.98 | $87.10 |
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 $60.26 Median $100.00 Typical High $309.03 | Facility | None | $60.26 | $100.00 | $309.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $60.26 Median $63.10 Typical High $102.33 | Professional | None (both parts) | $60.26 | $63.10 | $102.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $29.51 Typical High $43.65 | Professional | 26 · Professional part | $28.18 | $29.51 | $43.65 |
Providence Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.88 Typical High $56.23 | Professional | TC · Technical part | $31.62 | $33.88 | $56.23 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $93.33 | $93.33 | $93.33 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $102.33 | $102.33 | $102.33 |
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 $44.67 Median $58.88 Typical High $102.33 | Professional | None (both parts) | $44.67 | $58.88 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $44.67 | Professional | 26 · Professional part | $21.88 | $28.18 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $32.36 Typical High $57.54 | Professional | TC · Technical part | $23.44 | $32.36 | $57.54 |
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 $27.54 Median $29.51 Typical High $34.67 | Professional | 52 · Reduced service | $27.54 | $29.51 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.02 Typical High $13.80 | Professional | 53 · Discontinued | $10.96 | $12.02 | $13.80 |
Where California sits
The same service costs 3.6 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· 36th of 51
$64.57
MN $141TX $38.90
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.