How much rates vary
Facilitymedian $417 · 10th to 90th $87 to $832Professionalmedian $112 · 10th to 90th $87 to $550
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 $97.72 Median $102.33 Typical High $112.20 | Facility | None | $97.72 | $102.33 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $97.72 Typical High $112.20 | Professional | None (both parts) | $89.13 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $35.48 Typical High $39.81 | Professional | 26 · Professional part | $33.88 | $35.48 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $61.66 Typical High $72.44 | Professional | TC · Technical part | $54.95 | $61.66 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $34.67 Median $37.15 Typical High $40.74 | Facility | None | $34.67 | $37.15 | $40.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $93.33 Typical High $190.55 | Professional | None (both parts) | $91.20 | $93.33 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $93.33 | Professional | 26 · Professional part | $33.11 | $35.48 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $57.54 Typical High $114.82 | Professional | TC · Technical part | $56.23 | $57.54 | $114.82 |
Blue Shield Setting Facility Modifier None Typical Low $158.49 Median $512.86 Typical High $870.96 | Facility | None | $158.49 | $512.86 | $870.96 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $77.62 Median $112.20 Typical High $162.18 | Professional | None (both parts) | $77.62 | $112.20 | $162.18 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $48.98 | Professional | 26 · Professional part | $23.44 | $33.11 | $48.98 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $46.77 | $67.61 | $100.00 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $245.47 Typical High $338.84 | Professional | None (both parts) | $61.66 | $245.47 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $602.56 Typical High $1,995.26 | Facility | None | $109.65 | $602.56 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $102.33 | $112.20 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $81.28 | Professional | 26 · Professional part | $38.02 | $41.69 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $125.89 | Professional | TC · Technical part | $63.10 | $72.44 | $125.89 |
Contra Costa Health Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $51.29 | Professional | None | $40.74 | $51.29 | $51.29 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $45.71 Typical High $52.48 | Professional | 26 · Professional part | $30.90 | $45.71 | $52.48 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $12.88 Typical High $12.88 | Professional | TC · Technical part | $10.23 | $12.88 | $12.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $295.12 Typical High $537.03 | Professional | None | $234.42 | $295.12 | $537.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $45.71 | $95.50 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,548.82 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $257.04 | $323.59 | $323.59 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | TC · Technical part | $1,513.56 | $1,513.56 | $1,513.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
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 $79.43 Median $147.91 Typical High $575.44 | Facility | None | $79.43 | $147.91 | $575.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $275.42 | Professional | None (both parts) | $102.33 | $112.20 | $275.42 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $38.02 | $41.69 | $70.79 |
Providence Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $117.49 | Professional | TC · Technical part | $63.10 | $72.44 | $117.49 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $128.82 |
United Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $933.25 | Facility | None | $616.60 | $616.60 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $208.93 Typical High $524.81 | Professional | None (both parts) | $67.61 | $208.93 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $40.74 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $173.78 Typical High $446.68 | Professional | TC · Technical part | $25.12 | $173.78 | $446.68 |
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 $43.65 Median $47.86 Typical High $56.23 | Professional | 52 · Reduced service | $43.65 | $47.86 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.50 Typical High $22.39 | Professional | 53 · Discontinued | $17.78 | $19.50 | $22.39 |
Where California sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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· 28th of 51
$112
HI $309KY $57.54
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.