How much rates vary
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 $102.33 Median $112.20 Typical High $117.49 | Facility | None | $102.33 | $112.20 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $134.90 | Professional | None (both parts) | $102.33 | $102.33 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $60.26 Typical High $67.61 | Professional | 26 · Professional part | $57.54 | $60.26 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $41.69 Typical High $69.18 | Professional | TC · Technical part | $37.15 | $41.69 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $32.36 Typical High $35.48 | Facility | None | $30.20 | $32.36 | $35.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $309.03 | Professional | None (both parts) | $91.20 | $100.00 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $165.96 | Professional | 26 · Professional part | $57.54 | $63.10 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $30.90 Typical High $134.90 | Professional | TC · Technical part | $16.22 | $30.90 | $134.90 |
Blue Shield Setting Facility Modifier None Typical Low $87.10 Median $251.19 Typical High $416.87 | Facility | None | $87.10 | $251.19 | $416.87 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $57.54 Median $83.18 Typical High $123.03 | Professional | None (both parts) | $57.54 | $83.18 | $123.03 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $35.48 | $50.12 | $74.13 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.11 Typical High $50.12 | Professional | TC · Technical part | $22.91 | $33.11 | $50.12 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $162.18 Typical High $199.53 | Professional | None (both parts) | $93.33 | $162.18 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $588.84 | Facility | None | $138.04 | $169.82 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $87.10 | $144.54 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $141.25 | Professional | 26 · Professional part | $66.07 | $72.44 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $72.44 Typical High $138.04 | Professional | TC · Technical part | $17.78 | $72.44 | $138.04 |
Contra Costa Health Setting Professional Modifier None Typical Low $66.07 Median $177.83 Typical High $204.17 | Professional | None | $66.07 | $177.83 | $204.17 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $79.43 Typical High $91.20 | Professional | 26 · Professional part | $50.12 | $79.43 | $91.20 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $97.72 Typical High $112.20 | Professional | TC · Technical part | $16.60 | $97.72 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $158.49 Typical High $331.13 | Professional | None | $138.04 | $158.49 | $331.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $165.96 | Professional | 26 · Professional part | $66.07 | $79.43 | $165.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $194.98 | Professional | TC · Technical part | $75.86 | $95.50 | $194.98 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $831.76 | $1,174.90 | $1,174.90 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $398.11 | $549.54 | $549.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $436.52 | $602.56 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $169.82 | Professional | None (both parts) | $81.28 | $89.13 | $169.82 |
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 $102.33 Median $158.49 Typical High $269.15 | Facility | None | $102.33 | $158.49 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $87.10 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $87.10 | $144.54 | $275.42 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $123.03 | Professional | 26 · Professional part | $66.07 | $70.79 | $123.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $69.18 Typical High $125.89 | Professional | TC · Technical part | $17.78 | $69.18 | $125.89 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $218.78 | $218.78 | $218.78 |
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 $213.80 Median $213.80 Typical High $323.59 | Facility | None | $213.80 | $213.80 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $128.82 Typical High $288.40 | Professional | None (both parts) | $91.20 | $128.82 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $67.61 Typical High $134.90 | Professional | 26 · Professional part | $51.29 | $67.61 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $63.10 Typical High $147.91 | Professional | TC · Technical part | $28.84 | $63.10 | $147.91 |
1 more rate 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $134.90 Median $181.97 Typical High $223.87 | Professional | 50 · Both sides | $134.90 | $181.97 | $223.87 |
Where California sits
The same service costs 4.7 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· 46th of 51
$117
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.