How much rates vary
Facilitymedian $195 · 10th to 90th $78 to $692Professionalmedian $141 · 10th to 90th $102 to $724
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 $112.20 Median $128.82 Typical High $177.83 | Facility | None | $112.20 | $128.82 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $208.93 | Professional | None (both parts) | $112.20 | $125.89 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $69.18 Typical High $112.20 | Professional | 26 · Professional part | $60.26 | $69.18 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $57.54 Typical High $91.20 | Professional | TC · Technical part | $51.29 | $57.54 | $91.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $213.80 | Professional | None (both parts) | $120.23 | $169.82 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $70.79 Typical High $77.62 | Facility | None | $66.07 | $70.79 | $77.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $331.13 | Professional | None (both parts) | $104.71 | $141.25 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $77.62 Typical High $190.55 | Professional | 26 · Professional part | $57.54 | $77.62 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $67.61 Typical High $169.82 | Professional | TC · Technical part | $46.77 | $67.61 | $169.82 |
Blue Shield Setting Facility Modifier None Typical Low $194.98 Median $363.08 Typical High $870.96 | Facility | None | $194.98 | $363.08 | $870.96 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $70.79 Median $102.33 Typical High $151.36 | Professional | None (both parts) | $70.79 | $102.33 | $151.36 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $70.79 Typical High $79.43 | Professional | 26 · Professional part | $50.12 | $70.79 | $79.43 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $64.57 Typical High $79.43 | Professional | TC · Technical part | $44.67 | $64.57 | $79.43 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $169.82 Typical High $173.78 | Professional | None (both parts) | $123.03 | $169.82 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $323.59 Typical High $1,174.90 | Facility | None | $125.89 | $323.59 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $269.15 | Professional | None (both parts) | $125.89 | $144.54 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $77.62 Typical High $147.91 | Professional | 26 · Professional part | $67.61 | $77.62 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $66.07 | $120.23 |
Contra Costa Health Setting Professional Modifier None Typical Low $102.33 Median $151.36 Typical High $173.78 | Professional | None | $102.33 | $151.36 | $173.78 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $91.20 | Professional | 26 · Professional part | $54.95 | $79.43 | $91.20 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $72.44 Typical High $83.18 | Professional | TC · Technical part | $46.77 | $72.44 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $288.40 | Professional | None | $117.49 | $138.04 | $288.40 |
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 $56.23 Median $69.18 Typical High $141.25 | Professional | TC · Technical part | $56.23 | $69.18 | $141.25 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $724.44 | $1,000.00 | $1,000.00 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $562.34 Typical High $562.34 | Professional | 26 · Professional part | $416.87 | $562.34 | $562.34 |
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 $63.10 Median $93.33 Typical High $154.88 | Professional | None (both parts) | $63.10 | $93.33 | $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 $112.20 Median $173.78 Typical High $389.05 | Facility | None | $112.20 | $173.78 | $389.05 |
Providence Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $125.89 | $144.54 | $275.42 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $75.86 Typical High $123.03 | Professional | 26 · Professional part | $67.61 | $75.86 | $123.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $57.54 | $66.07 | $109.65 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $223.87 | $223.87 | $223.87 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $181.97 | $181.97 | $181.97 |
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 $93.33 Median $125.89 Typical High $257.04 | Professional | None (both parts) | $93.33 | $125.89 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $138.04 | Professional | 26 · Professional part | $51.29 | $69.18 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $54.95 Typical High $120.23 | Professional | TC · Technical part | $40.74 | $54.95 | $120.23 |
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 $53.70 Median $56.23 Typical High $64.57 | Professional | 52 · Reduced service | $53.70 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.39 Typical High $25.70 | Professional | 53 · Discontinued | $21.38 | $22.39 | $25.70 |
Where California sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 19th of 51
$141
AK $275UT $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.