How much rates vary
Facilitymedian $129 · 10th to 90th $43 to $347Professionalmedian $42 · 10th to 90th $30 to $347
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 $38.90 Median $44.67 Typical High $87.10 | Facility | None | $38.90 | $44.67 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $42.66 Typical High $75.86 | Professional | None (both parts) | $37.15 | $42.66 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.14 Typical High $23.44 | Professional | 26 · Professional part | $13.80 | $15.14 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $27.54 Typical High $48.98 | Professional | TC · Technical part | $23.44 | $27.54 | $48.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $45.71 | Professional | None (both parts) | $43.65 | $43.65 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $15.14 Typical High $16.60 | Facility | None | $14.13 | $15.14 | $16.60 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.39 Median $37.15 Typical High $63.10 | Professional | None (both parts) | $22.39 | $37.15 | $63.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.45 Typical High $27.54 | Professional | 26 · Professional part | $14.13 | $14.45 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.91 Typical High $41.69 | Professional | TC · Technical part | $22.39 | $22.91 | $41.69 |
Blue Shield Setting Facility Modifier None Typical Low $60.26 Median $162.18 Typical High $275.42 | Facility | None | $60.26 | $162.18 | $275.42 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.90 Typical High $50.12 | Professional | None (both parts) | $26.92 | $38.90 | $50.12 |
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 $15.49 Median $21.88 Typical High $30.20 | Professional | TC · Technical part | $15.49 | $21.88 | $30.20 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $44.67 | $61.66 | $61.66 |
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 $38.02 Median $42.66 Typical High $66.07 | Professional | None (both parts) | $38.02 | $42.66 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.49 Typical High $22.91 | Professional | 26 · Professional part | $14.45 | $15.49 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.92 Typical High $42.66 | Professional | TC · Technical part | $22.39 | $26.92 | $42.66 |
Contra Costa Health Setting Professional Modifier None Typical Low $23.44 Median $54.95 Typical High $61.66 | Professional | None | $23.44 | $54.95 | $61.66 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $16.60 Typical High $18.62 | Professional | 26 · Professional part | $9.33 | $16.60 | $18.62 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $38.90 Typical High $42.66 | Professional | TC · Technical part | $13.80 | $38.90 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $47.86 Typical High $85.11 | Professional | None | $42.66 | $47.86 | $85.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $17.38 Typical High $35.48 | Professional | 26 · Professional part | $14.13 | $17.38 | $35.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.90 Typical High $75.86 | Professional | TC · Technical part | $30.20 | $38.90 | $75.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $346.74 | $363.08 | $363.08 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $89.13 | $120.23 | $120.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $199.53 | $245.47 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.42 Median $33.88 Typical High $53.70 | Professional | None (both parts) | $20.42 | $33.88 | $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 $38.90 Median $58.88 Typical High $309.03 | Facility | None | $38.90 | $58.88 | $309.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $37.15 Median $42.66 Typical High $61.66 | Professional | None (both parts) | $37.15 | $42.66 | $61.66 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.49 Typical High $22.39 | Professional | 26 · Professional part | $14.45 | $15.49 | $22.39 |
Providence Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.92 Typical High $38.90 | Professional | TC · Technical part | $22.39 | $26.92 | $38.90 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $81.28 | $81.28 | $81.28 |
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 $29.51 Median $38.02 Typical High $69.18 | Professional | None (both parts) | $29.51 | $38.02 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $23.44 | Professional | 26 · Professional part | $11.22 | $14.45 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.44 Typical High $44.67 | Professional | TC · Technical part | $18.20 | $23.44 | $44.67 |
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 $17.78 Median $19.50 Typical High $22.39 | Professional | 52 · Reduced service | $17.78 | $19.50 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.76 Typical High $9.12 | Professional | 53 · Discontinued | $7.08 | $7.76 | $9.12 |
Where California sits
The same service costs 2.7 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· 29th of 51
$41.69
MN $83.18UT $30.90
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.