How much rates vary
Facilitymedian $575 · 10th to 90th $120 to $1,175Professionalmedian $347 · 10th to 90th $214 to $2,455
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 $302.00 Median $363.08 Typical High $831.76 | Facility | None | $302.00 | $363.08 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $363.08 Typical High $724.44 | Professional | None (both parts) | $288.40 | $363.08 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $93.33 | Professional | 26 · Professional part | $51.29 | $57.54 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $302.00 Typical High $630.96 | Professional | TC · Technical part | $234.42 | $302.00 | $630.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $389.05 Median $407.38 Typical High $478.63 | Professional | None (both parts) | $389.05 | $407.38 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $57.54 | $60.26 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $53.70 Typical High $58.88 | Facility | None | $50.12 | $53.70 | $58.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $245.47 Typical High $954.99 | Professional | None (both parts) | $234.42 | $245.47 | $954.99 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $53.70 Typical High $147.91 | Professional | 26 · Professional part | $50.12 | $53.70 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $724.44 | Professional | TC · Technical part | $154.88 | $190.55 | $724.44 |
Blue Shield Setting Facility Modifier None Typical Low $213.80 Median $776.25 Typical High $1,288.25 | Facility | None | $213.80 | $776.25 | $1,288.25 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $331.13 | Professional | None (both parts) | $147.91 | $213.80 | $331.13 |
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 $117.49 Median $165.96 Typical High $263.03 | Professional | TC · Technical part | $117.49 | $165.96 | $263.03 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $194.98 Typical High $645.65 | Professional | None (both parts) | $95.50 | $194.98 | $645.65 |
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 $223.87 Median $398.11 Typical High $776.25 | Professional | None (both parts) | $223.87 | $398.11 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $56.23 | $61.66 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $331.13 Typical High $660.69 | Professional | TC · Technical part | $165.96 | $331.13 | $660.69 |
Contra Costa Health Setting Professional Modifier None Typical Low $75.86 Median $562.34 Typical High $630.96 | Professional | None | $75.86 | $562.34 | $630.96 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $67.61 Typical High $74.13 | Professional | 26 · Professional part | $36.31 | $67.61 | $74.13 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $501.19 Typical High $549.54 | Professional | TC · Technical part | $38.90 | $501.19 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $512.86 Typical High $891.25 | Professional | None | $426.58 | $512.86 | $891.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $138.04 | Professional | 26 · Professional part | $54.95 | $67.61 | $138.04 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $489.78 Typical High $912.01 | Professional | TC · Technical part | $389.05 | $489.78 | $912.01 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $3,548.13 Typical High $3,548.13 | Professional | None (both parts) | $2,454.71 | $3,548.13 | $3,548.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $467.74 Typical High $467.74 | Professional | 26 · Professional part | $354.81 | $467.74 | $467.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,089.30 Median $3,090.30 Typical High $3,090.30 | Professional | TC · Technical part | $2,089.30 | $3,090.30 | $3,090.30 |
Molina Setting Professional Modifier None (both parts) Typical Low $79.43 Median $457.09 Typical High $537.03 | Professional | None (both parts) | $79.43 | $457.09 | $537.03 |
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 $194.98 Median $436.52 Typical High $630.96 | Facility | None | $194.98 | $436.52 | $630.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $223.87 Median $398.11 Typical High $851.14 | Professional | None (both parts) | $223.87 | $398.11 | $851.14 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $56.23 | $60.26 | $102.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $331.13 Typical High $616.60 | Professional | TC · Technical part | $165.96 | $331.13 | $616.60 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $1,230.27 |
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $1,047.13 | $1,047.13 | $1,047.13 |
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 $234.42 Median $371.54 Typical High $812.83 | Professional | None (both parts) | $234.42 | $371.54 | $812.83 |
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 $181.97 Median $309.03 Typical High $691.83 | Professional | TC · Technical part | $181.97 | $309.03 | $691.83 |
3 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 $138.04 Median $151.36 Typical High $194.98 | Professional | 52 · Reduced service | $138.04 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $60.26 Typical High $79.43 | Professional | 53 · Discontinued | $54.95 | $60.26 | $79.43 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 59 · Distinct service | $457.09 | $457.09 | $457.09 |
Where California sits
The same service costs 3.0 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· 43rd of 51
$347
AK $794NM $269
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.