How much rates vary
Facilitymedian $224 · 10th to 90th $79 to $468Professionalmedian $110 · 10th to 90th $72 to $794
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 $91.20 Median $97.72 Typical High $104.71 | Facility | None | $91.20 | $97.72 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $104.71 Typical High $204.17 | Professional | None (both parts) | $87.10 | $104.71 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $83.18 | Professional | 26 · Professional part | $46.77 | $52.48 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $51.29 Typical High $120.23 | Professional | TC · Technical part | $39.81 | $51.29 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $31.62 Typical High $35.48 | Facility | None | $29.51 | $31.62 | $35.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $87.10 Typical High $288.40 | Professional | None (both parts) | $70.79 | $87.10 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $52.48 Typical High $131.83 | Professional | 26 · Professional part | $41.69 | $52.48 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $33.11 Typical High $162.18 | Professional | TC · Technical part | $30.20 | $33.11 | $162.18 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $302.00 Typical High $489.78 | Facility | None | $97.72 | $302.00 | $489.78 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $61.66 Median $89.13 Typical High $134.90 | Professional | None (both parts) | $61.66 | $89.13 | $134.90 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $64.57 | Professional | 26 · Professional part | $30.20 | $43.65 | $64.57 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $39.81 Typical High $61.66 | Professional | TC · Technical part | $26.92 | $39.81 | $61.66 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $83.18 | $144.54 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $138.04 Typical High $478.63 | Facility | None | $128.82 | $138.04 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $131.83 Typical High $251.19 | Professional | None (both parts) | $95.50 | $131.83 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $107.15 | Professional | 26 · Professional part | $51.29 | $54.95 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $74.13 Typical High $141.25 | Professional | TC · Technical part | $42.66 | $74.13 | $141.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $66.07 Median $158.49 Typical High $173.78 | Professional | None | $66.07 | $158.49 | $173.78 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $75.86 | Professional | 26 · Professional part | $53.70 | $61.66 | $75.86 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $95.50 Typical High $104.71 | Professional | TC · Technical part | $12.59 | $95.50 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $288.40 | Professional | None | $120.23 | $141.25 | $288.40 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $128.82 | Professional | 26 · Professional part | $50.12 | $61.66 | $128.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $190.55 | Professional | TC · Technical part | $74.13 | $93.33 | $190.55 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $794.33 | $1,023.29 | $1,023.29 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $426.58 Typical High $426.58 | Professional | 26 · Professional part | $389.05 | $426.58 | $426.58 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $478.63 | $588.84 | $588.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $154.88 | Professional | None (both parts) | $70.79 | $83.18 | $154.88 |
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 $91.20 Median $138.04 Typical High $218.78 | Facility | None | $91.20 | $138.04 | $218.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $95.50 Median $131.83 Typical High $251.19 | Professional | None (both parts) | $95.50 | $131.83 | $251.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $50.12 | $53.70 | $93.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $74.13 Typical High $125.89 | Professional | TC · Technical part | $42.66 | $74.13 | $125.89 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $169.82 | $169.82 | $169.82 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $229.09 | $229.09 | $229.09 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $338.84 | Facility | None | $218.78 | $218.78 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $117.49 Typical High $257.04 | Professional | None (both parts) | $85.11 | $117.49 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $52.48 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $63.10 Typical High $147.91 | Professional | TC · Technical part | $38.02 | $63.10 | $147.91 |
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 $44.67 Median $44.67 Typical High $58.88 | Professional | 52 · Reduced service | $44.67 | $44.67 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $18.20 Typical High $23.44 | Professional | 53 · Discontinued | $17.78 | $18.20 | $23.44 |
Where California sits
The same service costs 3.9 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· 43rd of 51
$110
AK $282TX $72.44
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.