How much rates vary
Facilitymedian $316 · 10th to 90th $58 to $1,349Professionalmedian $251 · 10th to 90th $107 to $1,862
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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $165.96 | Professional | None (both parts) | $112.20 | $112.20 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $109.65 | Professional | 26 · Professional part | $44.67 | $44.67 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $162.18 | Professional | TC · Technical part | $67.61 | $67.61 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $52.48 Typical High $57.54 | Facility | None | $48.98 | $52.48 | $57.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $109.65 Typical High $147.91 | Professional | None (both parts) | $104.71 | $109.65 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $63.10 | Professional | 26 · Professional part | $47.86 | $50.12 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $58.88 Typical High $75.86 | Professional | TC · Technical part | $56.23 | $58.88 | $75.86 |
Blue Shield Setting Facility Modifier None Typical Low $288.40 Median $436.52 Typical High $1,659.59 | Facility | None | $288.40 | $436.52 | $1,659.59 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $177.83 Median $251.19 Typical High $269.15 | Professional | None (both parts) | $177.83 | $251.19 | $269.15 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $53.70 | Professional | 26 · Professional part | $35.48 | $50.12 | $53.70 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $199.53 Typical High $218.78 | Professional | TC · Technical part | $141.25 | $199.53 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $602.56 Typical High $1,995.26 | Facility | None | $354.81 | $602.56 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $436.52 Typical High $616.60 | Professional | None (both parts) | $288.40 | $436.52 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $173.78 Typical High $223.87 | Professional | 26 · Professional part | $114.82 | $173.78 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $269.15 Typical High $354.81 | Professional | TC · Technical part | $173.78 | $269.15 | $354.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $34.67 Median $43.65 Typical High $54.95 | Professional | None | $34.67 | $43.65 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $380.19 Typical High $630.96 | Professional | None | $229.09 | $380.19 | $630.96 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $1,862.09 Typical High $2,818.38 | Professional | None (both parts) | $1,862.09 | $1,862.09 | $2,818.38 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $741.31 Median $1,071.52 Typical High $1,071.52 | Professional | 26 · Professional part | $741.31 | $1,071.52 | $1,071.52 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,737.80 Typical High $1,737.80 | Professional | TC · Technical part | $1,122.02 | $1,737.80 | $1,737.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
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 $112.20 Median $162.18 Typical High $851.14 | Facility | None | $112.20 | $162.18 | $851.14 |
Providence Setting Professional Modifier None (both parts) Typical Low $288.40 Median $371.54 Typical High $562.34 | Professional | None (both parts) | $288.40 | $371.54 | $562.34 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $173.78 Typical High $204.17 | Professional | 26 · Professional part | $114.82 | $173.78 | $204.17 |
Providence Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $269.15 Typical High $323.59 | Professional | TC · Technical part | $173.78 | $269.15 | $323.59 |
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 $213.80 Median $295.12 Typical High $489.78 | Professional | None (both parts) | $213.80 | $295.12 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $109.65 Typical High $177.83 | Professional | 26 · Professional part | $87.10 | $109.65 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $173.78 Typical High $316.23 | Professional | TC · Technical part | $128.82 | $173.78 | $316.23 |
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 $56.23 Median $56.23 Typical High $83.18 | Professional | 52 · Reduced service | $56.23 | $56.23 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $33.11 | Professional | 53 · Discontinued | $22.39 | $22.39 | $33.11 |
Where California sits
The same service costs 9.8 times more in Alaska than in New York. 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· 46th of 51
$251
AK $631NY $64.57
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.