How much rates vary
Facilitymedian $813 · 10th to 90th $100 to $1,820Professionalmedian $407 · 10th to 90th $282 to $2,754
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 $363.08 Median $436.52 Typical High $489.78 | Facility | None | $363.08 | $436.52 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $407.38 Typical High $831.76 | Professional | None (both parts) | $346.74 | $407.38 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $144.54 | Professional | 26 · Professional part | $81.28 | $89.13 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $323.59 Typical High $691.83 | Professional | TC · Technical part | $263.03 | $323.59 | $691.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $85.11 Typical High $93.33 | Facility | None | $79.43 | $85.11 | $93.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $323.59 Typical High $1,148.15 | Professional | None (both parts) | $302.00 | $323.59 | $1,148.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $85.11 Typical High $251.19 | Professional | 26 · Professional part | $77.62 | $85.11 | $251.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $234.42 Typical High $891.25 | Professional | TC · Technical part | $181.97 | $234.42 | $891.25 |
Blue Shield Setting Facility Modifier None Typical Low $257.04 Median $1,148.15 Typical High $2,041.74 | Facility | None | $257.04 | $1,148.15 | $2,041.74 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $194.98 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $194.98 | $281.84 | $446.68 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $75.86 | $112.20 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $194.98 Typical High $316.23 | Professional | TC · Technical part | $134.90 | $194.98 | $316.23 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $288.40 Typical High $741.31 | Professional | None (both parts) | $141.25 | $288.40 | $741.31 |
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 $309.03 Median $512.86 Typical High $954.99 | Professional | None (both parts) | $309.03 | $512.86 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $95.50 Typical High $181.97 | Professional | 26 · Professional part | $89.13 | $95.50 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $426.58 Typical High $741.31 | Professional | TC · Technical part | $213.80 | $426.58 | $741.31 |
Contra Costa Health Setting Professional Modifier None Typical Low $112.20 Median $660.69 Typical High $724.44 | Professional | None | $112.20 | $660.69 | $724.44 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $104.71 Typical High $114.82 | Professional | 26 · Professional part | $66.07 | $104.71 | $114.82 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $549.54 Typical High $602.56 | Professional | TC · Technical part | $44.67 | $549.54 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $1,047.13 | Professional | None | $489.78 | $588.84 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $104.71 Typical High $218.78 | Professional | 26 · Professional part | $87.10 | $104.71 | $218.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $537.03 Typical High $1,023.29 | Professional | TC · Technical part | $426.58 | $537.03 | $1,023.29 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $4,168.69 Typical High $4,168.69 | Professional | None (both parts) | $2,754.23 | $4,168.69 | $4,168.69 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $741.31 Median $741.31 Typical High $776.25 | Professional | 26 · Professional part | $741.31 | $741.31 | $776.25 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,187.76 Median $3,388.44 Typical High $3,388.44 | Professional | TC · Technical part | $2,187.76 | $3,388.44 | $3,388.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $120.23 Median $478.63 Typical High $602.56 | Professional | None (both parts) | $120.23 | $478.63 | $602.56 |
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 $309.03 Median $512.86 Typical High $724.44 | Facility | None | $309.03 | $512.86 | $724.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $309.03 Median $512.86 Typical High $977.24 | Professional | None (both parts) | $309.03 | $512.86 | $977.24 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $95.50 Typical High $158.49 | Professional | 26 · Professional part | $87.10 | $95.50 | $158.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $426.58 Typical High $691.83 | Professional | TC · Technical part | $213.80 | $426.58 | $691.83 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $1,380.38 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $288.40 | $288.40 | $288.40 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,096.48 |
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 $295.12 Median $416.87 Typical High $933.25 | Professional | None (both parts) | $295.12 | $416.87 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $177.83 | Professional | 26 · Professional part | $67.61 | $89.13 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $331.13 Typical High $724.44 | Professional | TC · Technical part | $213.80 | $331.13 | $724.44 |
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 $165.96 Median $181.97 Typical High $218.78 | Professional | 52 · Reduced service | $165.96 | $181.97 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $72.44 Typical High $89.13 | Professional | 53 · Discontinued | $66.07 | $72.44 | $89.13 |
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· 42nd of 51
$407
AK $977NM $302
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.