How much rates vary
Facilitymedian $6,457 · 10th to 90th $302 to $13,183Professionalmedian $1,820 · 10th to 90th $1,122 to $11,749
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 $1,548.82 Median $1,659.59 Typical High $1,819.70 | Facility | None | $1,548.82 | $1,659.59 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,819.70 Typical High $3,630.78 | Professional | None (both parts) | $1,548.82 | $1,819.70 | $3,630.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $323.59 Typical High $562.34 | Professional | 26 · Professional part | $295.12 | $323.59 | $562.34 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,479.11 Typical High $2,884.03 | Professional | TC · Technical part | $1,258.93 | $1,479.11 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $275.42 Typical High $302.00 | Facility | None | $257.04 | $275.42 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,445.44 Typical High $5,495.41 | Professional | None (both parts) | $1,122.02 | $1,445.44 | $5,495.41 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $281.84 Typical High $891.25 | Professional | 26 · Professional part | $263.03 | $281.84 | $891.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,096.48 Typical High $4,466.84 | Professional | TC · Technical part | $870.96 | $1,096.48 | $4,466.84 |
Blue Shield Setting Facility Modifier None Typical Low $1,995.26 Median $9,120.11 Typical High $14,125.38 | Facility | None | $1,995.26 | $9,120.11 | $14,125.38 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,412.54 Typical High $2,187.76 | Professional | None (both parts) | $977.24 | $1,412.54 | $2,187.76 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $275.42 Typical High $407.38 | Professional | 26 · Professional part | $190.55 | $275.42 | $407.38 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,096.48 Typical High $1,737.80 | Professional | TC · Technical part | $758.58 | $1,096.48 | $1,737.80 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $2,187.76 Typical High $3,019.95 | Professional | None (both parts) | $331.13 | $2,187.76 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $2,089.30 Typical High $3,890.45 | Professional | None (both parts) | $1,548.82 | $2,089.30 | $3,890.45 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $354.81 Typical High $691.83 | Professional | 26 · Professional part | $316.23 | $354.81 | $691.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,737.80 Typical High $3,235.94 | Professional | TC · Technical part | $1,202.26 | $1,737.80 | $3,235.94 |
Contra Costa Health Setting Professional Modifier None Typical Low $223.87 Median $2,691.53 Typical High $2,951.21 | Professional | None | $223.87 | $2,691.53 | $2,951.21 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $398.11 Typical High $436.52 | Professional | 26 · Professional part | $213.80 | $398.11 | $436.52 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $2,290.87 Median $2,511.89 Typical High $3,090.30 | Professional | TC · Technical part | $2,290.87 | $2,511.89 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $2,454.71 Typical High $4,365.16 | Professional | None | $2,041.74 | $2,454.71 | $4,365.16 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $398.11 Typical High $831.76 | Professional | 26 · Professional part | $331.13 | $398.11 | $831.76 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,778.28 Median $2,187.76 Typical High $4,365.16 | Professional | TC · Technical part | $1,778.28 | $2,187.76 | $4,365.16 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $11,748.98 Median $16,982.44 Typical High $16,982.44 | Professional | None (both parts) | $11,748.98 | $16,982.44 | $16,982.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,041.74 Median $2,818.38 Typical High $2,818.38 | Professional | 26 · Professional part | $2,041.74 | $2,818.38 | $2,818.38 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $9,549.93 Median $14,125.38 Typical High $14,125.38 | Professional | TC · Technical part | $9,549.93 | $14,125.38 | $14,125.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $467.74 Median $1,949.84 Typical High $2,398.83 | Professional | None (both parts) | $467.74 | $1,949.84 | $2,398.83 |
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 $1,380.38 Median $2,290.87 Typical High $3,467.37 | Facility | None | $1,380.38 | $2,290.87 | $3,467.37 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $2,089.30 Typical High $3,981.07 | Professional | None (both parts) | $1,548.82 | $2,089.30 | $3,981.07 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $346.74 Typical High $588.84 | Professional | 26 · Professional part | $316.23 | $346.74 | $588.84 |
Providence Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,737.80 Typical High $2,884.03 | Professional | TC · Technical part | $1,202.26 | $1,737.80 | $2,884.03 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Professional | None (both parts) | $6,309.57 | $6,309.57 | $6,309.57 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 26 · Professional part | $1,096.48 | $1,096.48 | $1,096.48 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | TC · Technical part | $5,248.07 | $5,248.07 | $5,248.07 |
United Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,819.70 Typical High $4,168.69 | Professional | None (both parts) | $1,318.26 | $1,819.70 | $4,168.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $338.84 Typical High $676.08 | Professional | 26 · Professional part | $257.04 | $338.84 | $676.08 |
United Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,479.11 Typical High $3,388.44 | Professional | TC · Technical part | $1,047.13 | $1,479.11 | $3,388.44 |
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 $707.95 Median $776.25 Typical High $933.25 | Professional | 52 · Reduced service | $707.95 | $776.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $309.03 Typical High $380.19 | Professional | 53 · Discontinued | $281.84 | $309.03 | $380.19 |
Where California sits
The same service costs 3.2 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· 31st of 51
$1,862
AK $4,467TX $1,413
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.