How much rates vary
Facilitymedian $123 · 10th to 90th $45 to $219Professionalmedian $87 · 10th to 90th $65 to $562
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 $79.43 Median $85.11 Typical High $91.20 | Facility | None | $79.43 | $85.11 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $87.10 Typical High $151.36 | Professional | None (both parts) | $77.62 | $87.10 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $41.69 | $46.77 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $40.74 Typical High $81.28 | Professional | TC · Technical part | $34.67 | $40.74 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $85.11 | $87.10 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $33.11 Typical High $37.15 | Facility | None | $31.62 | $33.11 | $37.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $77.62 Typical High $186.21 | Professional | None (both parts) | $50.12 | $77.62 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $46.77 Typical High $123.03 | Professional | 26 · Professional part | $45.71 | $46.77 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $114.82 | Professional | TC · Technical part | $27.54 | $32.36 | $114.82 |
Blue Shield Setting Facility Modifier None Typical Low $50.12 Median $128.82 Typical High $229.09 | Facility | None | $50.12 | $128.82 | $229.09 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $45.71 Median $64.57 Typical High $100.00 | Professional | None (both parts) | $45.71 | $64.57 | $100.00 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $26.92 | $38.02 | $56.23 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $22.39 Typical High $36.31 | Professional | TC · Technical part | $14.79 | $22.39 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $169.82 Typical High $588.84 | Facility | None | $100.00 | $169.82 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $93.33 Typical High $186.21 | Professional | None (both parts) | $70.79 | $93.33 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $93.33 | Professional | 26 · Professional part | $45.71 | $48.98 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $46.77 Typical High $91.20 | Professional | TC · Technical part | $22.91 | $46.77 | $91.20 |
Contra Costa Health Setting Professional Modifier None Typical Low $117.49 Median $128.82 Typical High $158.49 | Professional | None | $117.49 | $128.82 | $158.49 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $70.79 | Professional | 26 · Professional part | $52.48 | $57.54 | $70.79 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $70.79 Typical High $87.10 | Professional | TC · Technical part | $64.57 | $70.79 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $104.71 Typical High $199.53 | Professional | None | $91.20 | $104.71 | $199.53 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $97.72 | Professional | 26 · Professional part | $42.66 | $52.48 | $97.72 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $120.23 | Professional | TC · Technical part | $50.12 | $61.66 | $120.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $562.34 | $776.25 | $776.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $331.13 | $363.08 | $363.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $407.38 Typical High $407.38 | Professional | TC · Technical part | $331.13 | $407.38 | $407.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $58.88 Median $63.10 Typical High $123.03 | Professional | None (both parts) | $58.88 | $63.10 | $123.03 |
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 $79.43 Median $120.23 Typical High $199.53 | Facility | None | $79.43 | $120.23 | $199.53 |
Providence Setting Professional Modifier None (both parts) Typical Low $70.79 Median $93.33 Typical High $190.55 | Professional | None (both parts) | $70.79 | $93.33 | $190.55 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $47.86 Typical High $81.28 | Professional | 26 · Professional part | $44.67 | $47.86 | $81.28 |
Providence Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $46.77 Typical High $81.28 | Professional | TC · Technical part | $22.91 | $46.77 | $81.28 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $147.91 | $147.91 | $147.91 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $138.04 | $138.04 | $138.04 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $323.59 | Facility | None | $213.80 | $213.80 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $87.10 Typical High $181.97 | Professional | None (both parts) | $66.07 | $87.10 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $91.20 | Professional | 26 · Professional part | $34.67 | $45.71 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $41.69 Typical High $89.13 | Professional | TC · Technical part | $27.54 | $41.69 | $89.13 |
3 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 $39.81 Typical High $45.71 | Professional | 52 · Reduced service | $36.31 | $39.81 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.85 Typical High $18.20 | Professional | 53 · Discontinued | $14.79 | $15.85 | $18.20 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 59 · Distinct service | $87.10 | $87.10 | $87.10 |
Where California sits
The same service costs 3.2 times more in Alaska than in Alabama. 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
$87.10
AK $219AL $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.