How much rates vary
Facilitymedian $240 · 10th to 90th $93 to $776Professionalmedian $170 · 10th to 90th $123 to $871
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 $134.90 Median $154.88 Typical High $194.98 | Facility | None | $134.90 | $154.88 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $251.19 | Professional | None (both parts) | $134.90 | $151.36 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $83.18 Typical High $131.83 | Professional | 26 · Professional part | $72.44 | $83.18 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $69.18 Typical High $120.23 | Professional | TC · Technical part | $61.66 | $69.18 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $724.44 | Professional | None (both parts) | $158.49 | $158.49 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $85.11 Typical High $93.33 | Facility | None | $79.43 | $85.11 | $93.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $426.58 | Professional | None (both parts) | $125.89 | $173.78 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $229.09 | Professional | 26 · Professional part | $67.61 | $91.20 | $229.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $81.28 Typical High $204.17 | Professional | TC · Technical part | $56.23 | $81.28 | $204.17 |
Blue Shield Setting Facility Modifier None Typical Low $213.80 Median $588.84 Typical High $1,047.13 | Facility | None | $213.80 | $588.84 | $1,047.13 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $85.11 Median $123.03 Typical High $181.97 | Professional | None (both parts) | $85.11 | $123.03 | $181.97 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $85.11 Typical High $95.50 | Professional | 26 · Professional part | $58.88 | $85.11 | $95.50 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $77.62 Typical High $95.50 | Professional | TC · Technical part | $53.70 | $77.62 | $95.50 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $204.17 Typical High $208.93 | Professional | None (both parts) | $147.91 | $204.17 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $323.59 Typical High $1,174.90 | Facility | None | $151.36 | $323.59 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $147.91 | $173.78 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $177.83 | Professional | 26 · Professional part | $79.43 | $93.33 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $144.54 | Professional | TC · Technical part | $69.18 | $79.43 | $144.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $208.93 | Professional | None | $123.03 | $181.97 | $208.93 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $109.65 | Professional | 26 · Professional part | $66.07 | $95.50 | $109.65 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $100.00 | Professional | TC · Technical part | $56.23 | $87.10 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $331.13 | Professional | None | $141.25 | $165.96 | $331.13 |
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 $67.61 Median $85.11 Typical High $169.82 | Professional | TC · Technical part | $67.61 | $85.11 | $169.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $870.96 | $1,202.26 | $1,202.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $501.19 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $501.19 | $676.08 | $676.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $380.19 | $537.03 | $537.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $112.20 Typical High $186.21 | Professional | None (both parts) | $75.86 | $112.20 | $186.21 |
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 $134.90 Median $208.93 Typical High $389.05 | Facility | None | $134.90 | $208.93 | $389.05 |
Providence Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $147.91 | $173.78 | $323.59 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $147.91 | Professional | 26 · Professional part | $79.43 | $91.20 | $147.91 |
Providence Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $77.62 Typical High $131.83 | Professional | TC · Technical part | $69.18 | $77.62 | $131.83 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $263.03 | $263.03 | $263.03 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | TC · Technical part | $218.78 | $218.78 | $218.78 |
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 $112.20 Median $151.36 Typical High $309.03 | Professional | None (both parts) | $112.20 | $151.36 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $165.96 | Professional | 26 · Professional part | $61.66 | $83.18 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $144.54 | Professional | TC · Technical part | $48.98 | $66.07 | $144.54 |
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 $64.57 Median $67.61 Typical High $77.62 | Professional | 52 · Reduced service | $64.57 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.92 Typical High $30.90 | Professional | 53 · Discontinued | $25.70 | $26.92 | $30.90 |
Where California sits
The same service costs 4.0 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· 19th of 51
$170
AK $339TX $85.11
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.