How much rates vary
Facilitymedian $245 · 10th to 90th $60 to $537Professionalmedian $89 · 10th to 90th $65 to $550
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 $75.86 Median $85.11 Typical High $89.13 | Facility | None | $75.86 | $85.11 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $151.36 | Professional | None (both parts) | $75.86 | $89.13 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $34.67 | $39.81 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $50.12 Typical High $91.20 | Professional | TC · Technical part | $40.74 | $50.12 | $91.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $95.50 | Professional | None (both parts) | $91.20 | $91.20 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $38.02 Typical High $41.69 | Facility | None | $35.48 | $38.02 | $41.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $81.28 Typical High $213.80 | Professional | None (both parts) | $70.79 | $81.28 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $36.31 Typical High $95.50 | Professional | 26 · Professional part | $32.36 | $36.31 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $44.67 Typical High $151.36 | Professional | TC · Technical part | $37.15 | $44.67 | $151.36 |
Blue Shield Setting Facility Modifier None Typical Low $75.86 Median $338.84 Typical High $562.34 | Facility | None | $75.86 | $338.84 | $562.34 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $44.67 Median $63.10 Typical High $95.50 | Professional | None (both parts) | $44.67 | $63.10 | $95.50 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $20.89 Typical High $30.90 | Professional | 26 · Professional part | $14.79 | $20.89 | $30.90 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $41.69 Typical High $63.10 | Professional | TC · Technical part | $29.51 | $41.69 | $63.10 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $112.20 Typical High $131.83 | Professional | None (both parts) | $83.18 | $112.20 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $53.70 Typical High $165.96 | Facility | None | $51.29 | $53.70 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $97.72 Typical High $186.21 | Professional | None (both parts) | $83.18 | $97.72 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $83.18 | Professional | 26 · Professional part | $38.02 | $43.65 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $107.15 | Professional | TC · Technical part | $44.67 | $52.48 | $107.15 |
Contra Costa Health Setting Professional Modifier None Typical Low $69.18 Median $114.82 Typical High $128.82 | Professional | None | $69.18 | $114.82 | $128.82 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $50.12 | Professional | 26 · Professional part | $31.62 | $43.65 | $50.12 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $72.44 Typical High $79.43 | Professional | TC · Technical part | $37.15 | $72.44 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $204.17 | Professional | None | $89.13 | $104.71 | $204.17 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $91.20 | Professional | 26 · Professional part | $36.31 | $43.65 | $91.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $67.61 Typical High $138.04 | Professional | TC · Technical part | $56.23 | $67.61 | $138.04 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $549.54 | $758.58 | $758.58 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $234.42 | $309.03 | $309.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $316.23 | $446.68 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $63.10 Typical High $114.82 | Professional | None (both parts) | $51.29 | $63.10 | $114.82 |
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 $61.66 Median $109.65 Typical High $165.96 | Facility | None | $61.66 | $109.65 | $165.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $83.18 Median $97.72 Typical High $194.98 | Professional | None (both parts) | $83.18 | $97.72 | $194.98 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $69.18 | Professional | 26 · Professional part | $38.02 | $42.66 | $69.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $91.20 | Professional | TC · Technical part | $44.67 | $52.48 | $91.20 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $89.13 Typical High $181.97 | Professional | None (both parts) | $64.57 | $89.13 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $39.81 Typical High $77.62 | Professional | 26 · Professional part | $28.84 | $39.81 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $48.98 Typical High $104.71 | Professional | TC · Technical part | $35.48 | $48.98 | $104.71 |
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 $36.31 Median $38.02 Typical High $43.65 | Professional | 52 · Reduced service | $36.31 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.14 Typical High $17.78 | Professional | 53 · Discontinued | $14.45 | $15.14 | $17.78 |
Where California sits
The same service costs 3.0 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· 32nd of 51
$89.13
AK $204TX $67.61
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.