How much rates vary
Facilitymedian $1,413 · 10th to 90th $170 to $2,884Professionalmedian $1,318 · 10th to 90th $912 to $6,026
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 $1,047.13 Median $1,174.90 Typical High $3,630.78 | Facility | None | $1,047.13 | $1,174.90 | $3,630.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $912.01 Median $2,290.87 Typical High $4,897.79 | Facility | TC · Technical part | $912.01 | $2,290.87 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,148.15 Typical High $1,819.70 | Professional | None (both parts) | $1,023.29 | $1,148.15 | $1,819.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $128.82 Typical High $194.98 | Professional | 26 · Professional part | $117.49 | $128.82 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,023.29 Typical High $1,737.80 | Professional | TC · Technical part | $912.01 | $1,023.29 | $1,737.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $154.88 Typical High $169.82 | Facility | None | $144.54 | $154.88 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,348.96 Typical High $3,311.31 | Professional | None (both parts) | $954.99 | $1,348.96 | $3,311.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $147.91 Typical High $363.08 | Professional | 26 · Professional part | $112.20 | $147.91 | $363.08 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,202.26 Typical High $2,884.03 | Professional | TC · Technical part | $851.14 | $1,202.26 | $2,884.03 |
Blue Shield Setting Facility Modifier None Typical Low $758.58 Median $1,862.09 Typical High $3,235.94 | Facility | None | $758.58 | $1,862.09 | $3,235.94 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $645.65 Median $933.25 Typical High $1,412.54 | Professional | None (both parts) | $645.65 | $933.25 | $1,412.54 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $131.83 Typical High $190.55 | Professional | 26 · Professional part | $91.20 | $131.83 | $190.55 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,000.00 Typical High $1,479.11 | Professional | TC · Technical part | $691.83 | $1,000.00 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $3,890.45 | Facility | None | $1,071.52 | $1,148.15 | $3,890.45 |
Cigna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,230.27 Typical High $2,290.87 | Professional | None (both parts) | $933.25 | $1,230.27 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $147.91 Typical High $288.40 | Professional | 26 · Professional part | $120.23 | $147.91 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,096.48 Typical High $2,041.74 | Professional | TC · Technical part | $812.83 | $1,096.48 | $2,041.74 |
Contra Costa Health Setting Professional Modifier None Typical Low $954.99 Median $1,380.38 Typical High $1,584.89 | Professional | None | $954.99 | $1,380.38 | $1,584.89 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $141.25 Typical High $169.82 | Professional | 26 · Professional part | $104.71 | $141.25 | $169.82 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,230.27 Typical High $1,445.44 | Professional | TC · Technical part | $851.14 | $1,230.27 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $2,511.89 | Professional | None | $1,047.13 | $1,258.93 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $316.23 | Professional | 26 · Professional part | $117.49 | $141.25 | $316.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,174.90 Typical High $2,344.23 | Professional | TC · Technical part | $977.24 | $1,174.90 | $2,344.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,025.60 Median $8,709.64 Typical High $8,709.64 | Professional | None (both parts) | $6,025.60 | $8,709.64 | $8,709.64 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $776.25 Median $1,000.00 Typical High $1,000.00 | Professional | 26 · Professional part | $776.25 | $1,000.00 | $1,000.00 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,248.07 Median $7,762.47 Typical High $7,762.47 | Professional | TC · Technical part | $5,248.07 | $7,762.47 | $7,762.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $173.78 Median $1,148.15 Typical High $1,318.26 | Professional | None (both parts) | $173.78 | $1,148.15 | $1,318.26 |
Providence Setting Facility Modifier None Typical Low $1,047.13 Median $1,479.11 Typical High $1,995.26 | Facility | None | $1,047.13 | $1,479.11 | $1,995.26 |
Providence Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,230.27 Typical High $2,290.87 | Professional | None (both parts) | $933.25 | $1,230.27 | $2,290.87 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $144.54 Typical High $223.87 | Professional | 26 · Professional part | $120.23 | $144.54 | $223.87 |
Providence Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,071.52 Typical High $1,905.46 | Professional | TC · Technical part | $812.83 | $1,071.52 | $1,905.46 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None (both parts) | $3,019.95 | $3,019.95 | $3,019.95 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 26 · Professional part | $416.87 | $416.87 | $416.87 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | TC · Technical part | $2,630.27 | $2,630.27 | $2,630.27 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,187.76 | Facility | None | $1,412.54 | $1,412.54 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,047.13 Typical High $2,089.30 | Professional | None (both parts) | $707.95 | $1,047.13 | $2,089.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $257.04 | Professional | 26 · Professional part | $97.72 | $131.83 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $933.25 Typical High $1,778.28 | Professional | TC · Technical part | $602.56 | $933.25 | $1,778.28 |
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 Facility Modifier 52 · Reduced service Typical Low $512.86 Median $1,148.15 Typical High $2,454.71 | Facility | 52 · Reduced service | $512.86 | $1,148.15 | $2,454.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $208.93 Median $457.09 Typical High $977.24 | Facility | 53 · Discontinued | $208.93 | $457.09 | $977.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $512.86 Typical High $630.96 | Professional | 52 · Reduced service | $467.74 | $512.86 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $208.93 Typical High $251.19 | Professional | 53 · Discontinued | $186.21 | $208.93 | $251.19 |
Where California sits
The same service costs 2.9 times more in Alaska 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· 17th of 51
$1,318
AK $2,138TX $741
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.