How much rates vary
Facilitymedian $214 · 10th to 90th $49 to $447Professionalmedian $47 · 10th to 90th $35 to $251
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 $40.74 Median $45.71 Typical High $48.98 | Facility | None | $40.74 | $45.71 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $45.71 Typical High $83.18 | Professional | None (both parts) | $40.74 | $45.71 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.59 Typical High $19.95 | Professional | 26 · Professional part | $11.22 | $12.59 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $33.11 Typical High $63.10 | Professional | TC · Technical part | $30.20 | $33.11 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $12.30 Typical High $13.49 | Facility | None | $11.48 | $12.30 | $13.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $44.67 Typical High $97.72 | Professional | None (both parts) | $38.02 | $44.67 | $97.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $30.90 | Professional | 26 · Professional part | $11.48 | $11.48 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $51.29 | Professional | TC · Technical part | $32.36 | $32.36 | $51.29 |
Blue Shield Setting Facility Modifier None Typical Low $85.11 Median $263.03 Typical High $457.09 | Facility | None | $85.11 | $263.03 | $457.09 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $31.62 Median $44.67 Typical High $53.70 | Professional | None (both parts) | $31.62 | $44.67 | $53.70 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.59 Typical High $14.45 | Professional | 26 · Professional part | $8.71 | $12.59 | $14.45 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $32.36 Typical High $40.74 | Professional | TC · Technical part | $22.39 | $32.36 | $40.74 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $56.23 | $72.44 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $323.59 Typical High $588.84 | Facility | None | $51.29 | $323.59 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $47.86 Typical High $72.44 | Professional | None (both parts) | $39.81 | $47.86 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.80 Typical High $19.95 | Professional | 26 · Professional part | $12.30 | $13.80 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $52.48 | Professional | TC · Technical part | $27.54 | $34.67 | $52.48 |
Contra Costa Health Setting Professional Modifier None Typical Low $38.02 Median $64.57 Typical High $70.79 | Professional | None | $38.02 | $64.57 | $70.79 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.45 Typical High $15.85 | Professional | 26 · Professional part | $10.23 | $14.45 | $15.85 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $50.12 Typical High $54.95 | Professional | TC · Technical part | $27.54 | $50.12 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $112.20 | Professional | None | $48.98 | $56.23 | $112.20 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.14 Typical High $30.20 | Professional | 26 · Professional part | $12.30 | $15.14 | $30.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $50.12 Typical High $100.00 | Professional | TC · Technical part | $38.90 | $50.12 | $100.00 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $251.19 | $416.87 | $416.87 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $75.86 | $102.33 | $102.33 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $186.21 | $309.03 | $309.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.38 Median $43.65 Typical High $60.26 | Professional | None (both parts) | $17.38 | $43.65 | $60.26 |
Providence Setting Facility Modifier None Typical Low $40.74 Median $66.07 Typical High $309.03 | Facility | None | $40.74 | $66.07 | $309.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $39.81 Median $47.86 Typical High $72.44 | Professional | None (both parts) | $39.81 | $47.86 | $72.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.18 Typical High $19.50 | Professional | 26 · Professional part | $12.30 | $13.18 | $19.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $51.29 | Professional | TC · Technical part | $27.54 | $34.67 | $51.29 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $95.50 | $95.50 | $95.50 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $323.59 | Facility | None | $213.80 | $213.80 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $43.65 Typical High $72.44 | Professional | None (both parts) | $30.90 | $43.65 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.88 Typical High $19.95 | Professional | 26 · Professional part | $9.77 | $12.88 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $30.90 Typical High $52.48 | Professional | TC · Technical part | $21.38 | $30.90 | $52.48 |
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 $19.95 Median $20.42 Typical High $24.55 | Professional | 52 · Reduced service | $19.95 | $20.42 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.32 Typical High $9.77 | Professional | 53 · Discontinued | $7.94 | $8.32 | $9.77 |
Where California sits
The same service costs 2.9 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· 30th of 51
$46.77
AK $89.13UT $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.