How much rates vary
Facilitymedian $417 · 10th to 90th $155 to $1,230Professionalmedian $316 · 10th to 90th $229 to $1,413
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 $251.19 Median $281.84 Typical High $288.40 | Facility | None | $251.19 | $281.84 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $251.19 | $281.84 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $165.96 Typical High $263.03 | Professional | 26 · Professional part | $144.54 | $165.96 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $114.82 Typical High $186.21 | Professional | TC · Technical part | $104.71 | $114.82 | $186.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $229.09 | $245.47 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $144.54 Typical High $158.49 | Facility | None | $134.90 | $144.54 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $316.23 Typical High $758.58 | Professional | None (both parts) | $234.42 | $316.23 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $181.97 Typical High $457.09 | Professional | 26 · Professional part | $138.04 | $181.97 | $457.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $331.13 | Professional | TC · Technical part | $95.50 | $138.04 | $331.13 |
Blue Shield Setting Facility Modifier None Typical Low $346.74 Median $630.96 Typical High $1,659.59 | Facility | None | $346.74 | $630.96 | $1,659.59 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $338.84 | Professional | None (both parts) | $158.49 | $229.09 | $338.84 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $165.96 Typical High $186.21 | Professional | 26 · Professional part | $117.49 | $165.96 | $186.21 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $112.20 Typical High $138.04 | Professional | TC · Technical part | $79.43 | $112.20 | $138.04 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $363.08 Typical High $389.05 | Professional | None (both parts) | $263.03 | $363.08 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $602.56 Typical High $1,995.26 | Facility | None | $275.42 | $602.56 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $323.59 Typical High $602.56 | Professional | None (both parts) | $263.03 | $323.59 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $181.97 Typical High $354.81 | Professional | 26 · Professional part | $158.49 | $181.97 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $239.88 | Professional | TC · Technical part | $104.71 | $131.83 | $239.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $371.54 | Professional | None | $229.09 | $323.59 | $371.54 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $190.55 Typical High $218.78 | Professional | 26 · Professional part | $131.83 | $190.55 | $218.78 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $154.88 | Professional | TC · Technical part | $95.50 | $134.90 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $251.19 Median $288.40 Typical High $588.84 | Professional | None | $251.19 | $288.40 | $588.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $190.55 Typical High $389.05 | Professional | 26 · Professional part | $154.88 | $190.55 | $389.05 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $269.15 | Professional | TC · Technical part | $104.71 | $131.83 | $269.15 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $2,187.76 Typical High $2,187.76 | Professional | None (both parts) | $1,584.89 | $2,187.76 | $2,187.76 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $977.24 Median $1,318.26 Typical High $1,318.26 | Professional | 26 · Professional part | $977.24 | $1,318.26 | $1,318.26 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $616.60 | $851.14 | $851.14 |
Molina Setting Professional Modifier None (both parts) Typical Low $125.89 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $125.89 | $218.78 | $346.74 |
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 $251.19 Median $380.19 Typical High $691.83 | Facility | None | $251.19 | $380.19 | $691.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $263.03 Median $316.23 Typical High $588.84 | Professional | None (both parts) | $263.03 | $316.23 | $588.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $181.97 Typical High $295.12 | Professional | 26 · Professional part | $158.49 | $181.97 | $295.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $218.78 | Professional | TC · Technical part | $104.71 | $123.03 | $218.78 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $870.96 | $870.96 | $870.96 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $524.81 | $524.81 | $524.81 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $346.74 | $346.74 | $346.74 |
United Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $933.25 | Facility | None | $616.60 | $616.60 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $549.54 | Professional | None (both parts) | $199.53 | $275.42 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $165.96 Typical High $323.59 | Professional | 26 · Professional part | $123.03 | $165.96 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $107.15 Typical High $234.42 | Professional | TC · Technical part | $77.62 | $107.15 | $234.42 |
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 $120.23 Median $123.03 Typical High $144.54 | Professional | 52 · Reduced service | $120.23 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $50.12 Typical High $57.54 | Professional | 53 · Discontinued | $47.86 | $50.12 | $57.54 |
Where California sits
The same service costs 3.3 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· 18th of 51
$316
AK $589TX $178
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.