How much rates vary
Facilitymedian $692 · 10th to 90th $100 to $1,479Professionalmedian $355 · 10th to 90th $234 to $2,239
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 $331.13 Median $389.05 Typical High $467.74 | Facility | None | $331.13 | $389.05 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $363.08 Typical High $676.08 | Professional | None (both parts) | $309.03 | $363.08 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $57.54 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $302.00 Typical High $575.44 | Professional | TC · Technical part | $257.04 | $302.00 | $575.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $331.13 Median $380.19 Typical High $630.96 | Professional | None (both parts) | $331.13 | $380.19 | $630.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $58.88 | Facility | None | $50.12 | $52.48 | $58.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $269.15 Typical High $912.01 | Professional | None (both parts) | $251.19 | $269.15 | $912.01 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $162.18 | Professional | 26 · Professional part | $50.12 | $52.48 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $213.80 Typical High $794.33 | Professional | TC · Technical part | $204.17 | $213.80 | $794.33 |
Blue Shield Setting Facility Modifier None Typical Low $239.88 Median $933.25 Typical High $1,659.59 | Facility | None | $239.88 | $933.25 | $1,659.59 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $162.18 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $162.18 | $234.42 | $363.08 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $32.36 | $45.71 | $69.18 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $186.21 Typical High $288.40 | Professional | TC · Technical part | $131.83 | $186.21 | $288.40 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $208.93 Typical High $588.84 | Professional | None (both parts) | $104.71 | $208.93 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $1,174.90 | Facility | None | $309.03 | $389.05 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $426.58 Typical High $758.58 | Professional | None (both parts) | $239.88 | $426.58 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $61.66 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $371.54 Typical High $645.65 | Professional | TC · Technical part | $181.97 | $371.54 | $645.65 |
Contra Costa Health Setting Professional Modifier None Typical Low $81.28 Median $524.81 Typical High $575.44 | Professional | None | $81.28 | $524.81 | $575.44 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $69.18 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $69.18 | $75.86 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $457.09 Typical High $501.19 | Professional | TC · Technical part | $39.81 | $457.09 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $870.96 | Professional | None | $398.11 | $478.63 | $870.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $144.54 | Professional | 26 · Professional part | $57.54 | $69.18 | $144.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $446.68 Typical High $851.14 | Professional | TC · Technical part | $354.81 | $446.68 | $851.14 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $2,238.72 | $3,311.31 | $3,311.31 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $489.78 Typical High $776.25 | Professional | 26 · Professional part | $489.78 | $489.78 | $776.25 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $1,862.09 | $2,818.38 | $2,818.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $79.43 Median $398.11 Typical High $478.63 | Professional | None (both parts) | $79.43 | $398.11 | $478.63 |
Optum Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None (both parts) | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $446.68 Typical High $575.44 | Facility | None | $223.87 | $446.68 | $575.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $239.88 Median $426.58 Typical High $776.25 | Professional | None (both parts) | $239.88 | $426.58 | $776.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $54.95 | $60.26 | $102.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $371.54 Typical High $562.34 | Professional | TC · Technical part | $181.97 | $371.54 | $562.34 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,096.48 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $190.55 | $190.55 | $190.55 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | TC · Technical part | $912.01 | $912.01 | $912.01 |
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 $239.88 Median $338.84 Typical High $741.31 | Professional | None (both parts) | $239.88 | $338.84 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $117.49 | Professional | 26 · Professional part | $44.67 | $58.88 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $281.84 Typical High $616.60 | Professional | TC · Technical part | $190.55 | $281.84 | $616.60 |
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 $147.91 Median $162.18 Typical High $194.98 | Professional | 52 · Reduced service | $147.91 | $162.18 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $66.07 Typical High $77.62 | Professional | 53 · Discontinued | $58.88 | $66.07 | $77.62 |
Where California sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 31st of 51
$355
AK $776NM $240
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.