How much rates vary
Facilitymedian $724 · 10th to 90th $98 to $1,905Professionalmedian $214 · 10th to 90th $145 to $1,023
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 $213.80 Median $251.19 Typical High $407.38 | Facility | None | $213.80 | $251.19 | $407.38 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $457.09 Typical High $1,122.02 | Facility | TC · Technical part | $154.88 | $457.09 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $162.18 | $218.78 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $56.23 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $56.23 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $234.42 | Professional | TC · Technical part | $120.23 | $162.18 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $138.04 Typical High $162.18 | Professional | None (both parts) | $128.82 | $138.04 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $79.43 Typical High $213.80 | Professional | 26 · Professional part | $35.48 | $79.43 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $61.66 Typical High $67.61 | Facility | None | $57.54 | $61.66 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $213.80 Typical High $575.44 | Professional | None (both parts) | $151.36 | $213.80 | $575.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $213.80 | Professional | 26 · Professional part | $48.98 | $64.57 | $213.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $426.58 | Professional | TC · Technical part | $109.65 | $158.49 | $426.58 |
Blue Shield Setting Facility Modifier None Typical Low $257.04 Median $1,122.02 Typical High $2,041.74 | Facility | None | $257.04 | $1,122.02 | $2,041.74 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $112.20 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $112.20 | $162.18 | $239.88 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $43.65 | $63.10 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $177.83 | Professional | TC · Technical part | $83.18 | $117.49 | $177.83 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $213.80 Typical High $234.42 | Professional | None (both parts) | $154.88 | $213.80 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $169.82 Typical High $588.84 | Facility | None | $158.49 | $169.82 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $181.97 | $229.09 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $102.33 | Professional | 26 · Professional part | $47.86 | $63.10 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $309.03 | Professional | TC · Technical part | $128.82 | $169.82 | $309.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $218.78 | Professional | None | $138.04 | $190.55 | $218.78 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $44.67 Typical High $51.29 | Professional | 26 · Professional part | $24.55 | $44.67 | $51.29 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $169.82 | Professional | TC · Technical part | $112.20 | $144.54 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $346.74 | Professional | None | $144.54 | $169.82 | $346.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $93.33 | Professional | 26 · Professional part | $37.15 | $44.67 | $93.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $275.42 | Professional | TC · Technical part | $112.20 | $141.25 | $275.42 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $2,187.76 Typical High $2,187.76 | Professional | None (both parts) | $1,023.29 | $2,187.76 | $2,187.76 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $269.15 | $323.59 | $323.59 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $2,089.30 Typical High $2,089.30 | Professional | TC · Technical part | $776.25 | $2,089.30 | $2,089.30 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $131.83 Typical High $186.21 | Professional | None (both parts) | $56.23 | $131.83 | $186.21 |
Providence Setting Facility Modifier None Typical Low $162.18 Median $251.19 Typical High $363.08 | Facility | None | $162.18 | $251.19 | $363.08 |
Providence Setting Professional Modifier None (both parts) Typical Low $181.97 Median $229.09 Typical High $407.38 | Professional | None (both parts) | $181.97 | $229.09 | $407.38 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $46.77 | $61.66 | $97.72 |
Providence Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $295.12 | Professional | TC · Technical part | $128.82 | $165.96 | $295.12 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $134.90 | $134.90 | $134.90 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $416.87 | $416.87 | $416.87 |
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 $125.89 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $125.89 | $190.55 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $48.98 Typical High $97.72 | Professional | 26 · Professional part | $31.62 | $48.98 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $281.84 | Professional | TC · Technical part | $95.50 | $138.04 | $281.84 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 59 · Distinct service | $138.04 | $138.04 | $138.04 |
Where California sits
The same service costs 3.3 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· 20th of 51
$214
AK $347TX $105
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.