How much rates vary
Facilitymedian $195 · 10th to 90th $71 to $380Professionalmedian $120 · 10th to 90th $85 to $1,096
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 $107.15 Median $117.49 Typical High $125.89 | Facility | None | $107.15 | $117.49 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $194.98 | Professional | None (both parts) | $104.71 | $117.49 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $79.43 | Professional | 26 · Professional part | $56.23 | $58.88 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $54.95 Typical High $85.11 | Professional | TC · Technical part | $47.86 | $54.95 | $85.11 |
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 $85.11 Median $104.71 Typical High $338.84 | Professional | None (both parts) | $85.11 | $104.71 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $54.95 Typical High $218.78 | Professional | 26 · Professional part | $50.12 | $54.95 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $39.81 Typical High $162.18 | Professional | TC · Technical part | $35.48 | $39.81 | $162.18 |
Blue Shield Setting Facility Modifier None Typical Low $75.86 Median $223.87 Typical High $380.19 | Facility | None | $75.86 | $223.87 | $380.19 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $66.07 Median $93.33 Typical High $141.25 | Professional | None (both parts) | $66.07 | $93.33 | $141.25 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $77.62 | Professional | 26 · Professional part | $37.15 | $52.48 | $77.62 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.11 Typical High $52.48 | Professional | TC · Technical part | $22.91 | $33.11 | $52.48 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $169.82 Typical High $208.93 | Professional | None (both parts) | $102.33 | $169.82 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $323.59 Typical High $1,174.90 | Facility | None | $158.49 | $323.59 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $141.25 Typical High $288.40 | Professional | None (both parts) | $100.00 | $141.25 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $67.61 Typical High $131.83 | Professional | 26 · Professional part | $61.66 | $67.61 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $75.86 Typical High $158.49 | Professional | TC · Technical part | $36.31 | $75.86 | $158.49 |
Contra Costa Health Setting Professional Modifier None Typical Low $81.28 Median $169.82 Typical High $186.21 | Professional | None | $81.28 | $169.82 | $186.21 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $91.20 | Professional | 26 · Professional part | $64.57 | $74.13 | $91.20 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $95.50 Typical High $104.71 | Professional | TC · Technical part | $16.98 | $95.50 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $302.00 | Professional | None | $128.82 | $151.36 | $302.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $151.36 | Professional | 26 · Professional part | $60.26 | $74.13 | $151.36 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $186.21 | Professional | TC · Technical part | $74.13 | $91.20 | $186.21 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,230.27 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,230.27 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 26 · Professional part | $691.83 | $691.83 | $691.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $691.83 Typical High $741.31 | Professional | TC · Technical part | $691.83 | $691.83 | $741.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $87.10 Median $104.71 Typical High $190.55 | Professional | None (both parts) | $87.10 | $104.71 | $190.55 |
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 $107.15 Median $165.96 Typical High $309.03 | Facility | None | $107.15 | $165.96 | $309.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $100.00 Median $141.25 Typical High $302.00 | Professional | None (both parts) | $100.00 | $141.25 | $302.00 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $114.82 | Professional | 26 · Professional part | $61.66 | $66.07 | $114.82 |
Providence Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $75.86 Typical High $144.54 | Professional | TC · Technical part | $36.31 | $75.86 | $144.54 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $208.93 | $208.93 | $208.93 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $263.03 | $263.03 | $263.03 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $549.54 | Facility | None | $354.81 | $354.81 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $302.00 | Professional | None (both parts) | $100.00 | $138.04 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $128.82 | Professional | 26 · Professional part | $48.98 | $64.57 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $75.86 Typical High $169.82 | Professional | TC · Technical part | $38.90 | $75.86 | $169.82 |
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 $52.48 Median $53.70 Typical High $70.79 | Professional | 52 · Reduced service | $52.48 | $53.70 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $28.18 | Professional | 53 · Discontinued | $20.89 | $21.88 | $28.18 |
Where California sits
The same service costs 4.6 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
$123
AK $331TX $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.