How much rates vary
Facilitymedian $204 · 10th to 90th $74 to $363Professionalmedian $148 · 10th to 90th $105 to $1,047
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 $128.82 Median $141.25 Typical High $147.91 | Facility | None | $128.82 | $141.25 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $275.42 | Professional | None (both parts) | $125.89 | $147.91 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $83.18 Typical High $131.83 | Professional | 26 · Professional part | $74.13 | $83.18 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $144.54 | Professional | TC · Technical part | $51.29 | $66.07 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $165.96 | Professional | None (both parts) | $147.91 | $147.91 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $436.52 | Professional | 26 · Professional part | $83.18 | $83.18 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $37.15 Median $38.90 Typical High $43.65 | Facility | None | $37.15 | $38.90 | $43.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $109.65 Typical High $331.13 | Professional | None (both parts) | $66.07 | $109.65 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $74.13 Typical High $257.04 | Professional | 26 · Professional part | $66.07 | $74.13 | $257.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $42.66 Typical High $173.78 | Professional | TC · Technical part | $37.15 | $42.66 | $173.78 |
Blue Shield Setting Facility Modifier None Typical Low $81.28 Median $239.88 Typical High $371.54 | Facility | None | $81.28 | $239.88 | $371.54 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $81.28 Median $114.82 Typical High $173.78 | Professional | None (both parts) | $81.28 | $114.82 | $173.78 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $102.33 | Professional | 26 · Professional part | $48.98 | $69.18 | $102.33 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $56.23 | Professional | TC · Technical part | $24.55 | $35.48 | $56.23 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $204.17 Typical High $251.19 | Professional | None (both parts) | $125.89 | $204.17 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $158.49 Typical High $478.63 | Facility | None | $131.83 | $158.49 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $186.21 Typical High $354.81 | Professional | None (both parts) | $123.03 | $186.21 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $173.78 | Professional | 26 · Professional part | $81.28 | $89.13 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $100.00 Typical High $181.97 | Professional | TC · Technical part | $38.90 | $100.00 | $181.97 |
Contra Costa Health Setting Professional Modifier None Typical Low $97.72 Median $208.93 Typical High $229.09 | Professional | None | $97.72 | $208.93 | $229.09 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $114.82 | Professional | 26 · Professional part | $77.62 | $95.50 | $114.82 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $114.82 Typical High $125.89 | Professional | TC · Technical part | $21.88 | $114.82 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $398.11 | Professional | None | $162.18 | $190.55 | $398.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $199.53 | Professional | 26 · Professional part | $79.43 | $95.50 | $199.53 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $223.87 | Professional | TC · Technical part | $89.13 | $109.65 | $223.87 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,047.13 | $1,380.38 | $1,380.38 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $512.86 | $676.08 | $676.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $707.95 Typical High $707.95 | Professional | TC · Technical part | $549.54 | $707.95 | $707.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $107.15 Median $114.82 Typical High $218.78 | Professional | None (both parts) | $107.15 | $114.82 | $218.78 |
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 $128.82 Median $186.21 Typical High $275.42 | Facility | None | $128.82 | $186.21 | $275.42 |
Providence Setting Professional Modifier None (both parts) Typical Low $123.03 Median $186.21 Typical High $354.81 | Professional | None (both parts) | $123.03 | $186.21 | $354.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $147.91 | Professional | 26 · Professional part | $81.28 | $85.11 | $147.91 |
Providence Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $93.33 Typical High $165.96 | Professional | TC · Technical part | $38.90 | $93.33 | $165.96 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $269.15 | $269.15 | $269.15 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $302.00 | $302.00 | $302.00 |
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 $123.03 Median $165.96 Typical High $363.08 | Professional | None (both parts) | $123.03 | $165.96 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $83.18 Typical High $165.96 | Professional | 26 · Professional part | $63.10 | $83.18 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $81.28 Typical High $194.98 | Professional | TC · Technical part | $41.69 | $81.28 | $194.98 |
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 $63.10 Median $64.57 Typical High $85.11 | Professional | 52 · Reduced service | $63.10 | $64.57 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.30 Typical High $33.88 | Professional | 53 · Discontinued | $25.70 | $26.30 | $33.88 |
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· 45th of 51
$148
AK $398TX $102
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.