How much rates vary
Facilitymedian $339 · 10th to 90th $93 to $724Professionalmedian $148 · 10th to 90th $100 to $955
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 $147.91 Median $158.49 Typical High $173.78 | Facility | None | $147.91 | $158.49 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $223.87 | Professional | None (both parts) | $134.90 | $151.36 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $42.66 | $46.77 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $104.71 Typical High $154.88 | Professional | TC · Technical part | $93.33 | $104.71 | $154.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $724.44 | Professional | None (both parts) | $97.72 | $125.89 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $48.98 Typical High $53.70 | Facility | None | $45.71 | $48.98 | $53.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $131.83 Typical High $302.00 | Professional | None (both parts) | $66.07 | $131.83 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $46.77 Typical High $131.83 | Professional | 26 · Professional part | $45.71 | $46.77 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $223.87 | Professional | TC · Technical part | $60.26 | $85.11 | $223.87 |
Blue Shield Setting Facility Modifier None Typical Low $117.49 Median $457.09 Typical High $812.83 | Facility | None | $117.49 | $457.09 | $812.83 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $79.43 Median $112.20 Typical High $173.78 | Professional | None (both parts) | $79.43 | $112.20 | $173.78 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $58.88 | Professional | 26 · Professional part | $28.18 | $39.81 | $58.88 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $67.61 Typical High $107.15 | Professional | TC · Technical part | $45.71 | $67.61 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $141.25 Typical High $478.63 | Facility | None | $131.83 | $141.25 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $194.98 Typical High $323.59 | Professional | None (both parts) | $123.03 | $194.98 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $50.12 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $134.90 Typical High $218.78 | Professional | TC · Technical part | $72.44 | $134.90 | $218.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $218.78 | Professional | None | $162.18 | $177.83 | $218.78 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $69.18 | Professional | 26 · Professional part | $51.29 | $56.23 | $69.18 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $147.91 | Professional | TC · Technical part | $109.65 | $123.03 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $281.84 | Professional | None | $123.03 | $144.54 | $281.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $95.50 | Professional | 26 · Professional part | $42.66 | $51.29 | $95.50 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $87.10 | $104.71 | $199.53 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $954.99 | $1,047.13 | $1,047.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $389.05 | Professional | 26 · Professional part | $363.08 | $363.08 | $389.05 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | TC · Technical part | $776.25 | $776.25 | $776.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $63.10 Median $104.71 Typical High $169.82 | Professional | None (both parts) | $63.10 | $104.71 | $169.82 |
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 $141.25 Median $199.53 Typical High $263.03 | Facility | None | $141.25 | $199.53 | $263.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $120.23 Median $194.98 Typical High $316.23 | Professional | None (both parts) | $120.23 | $194.98 | $316.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $45.71 | $48.98 | $83.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $128.82 Typical High $204.17 | Professional | TC · Technical part | $72.44 | $128.82 | $204.17 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $151.36 | $151.36 | $151.36 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $281.84 | $281.84 | $281.84 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $338.84 | Facility | None | $218.78 | $218.78 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $131.83 Typical High $275.42 | Professional | None (both parts) | $97.72 | $131.83 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $93.33 | Professional | 26 · Professional part | $35.48 | $46.77 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $85.11 Typical High $190.55 | Professional | TC · Technical part | $63.10 | $85.11 | $190.55 |
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 $61.66 Median $74.13 Typical High $87.10 | Professional | 52 · Reduced service | $61.66 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $29.51 Typical High $34.67 | Professional | 53 · Discontinued | $24.55 | $29.51 | $34.67 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $112.20 Median $120.23 Typical High $141.25 | Professional | 59 · Distinct service | $112.20 | $120.23 | $141.25 |
Where California sits
The same service costs 3.2 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· 23rd of 51
$148
AK $302TX $93.33
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.