How much rates vary
Facilitymedian $282 · 10th to 90th $87 to $501Professionalmedian $166 · 10th to 90th $107 to $1,175
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 $162.18 Median $173.78 Typical High $194.98 | Facility | None | $162.18 | $173.78 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $263.03 | Professional | None (both parts) | $162.18 | $177.83 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $43.65 | Professional | 26 · Professional part | $25.70 | $28.18 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $151.36 Typical High $218.78 | Professional | TC · Technical part | $138.04 | $151.36 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $154.88 | Professional | None (both parts) | $134.90 | $134.90 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $28.84 Typical High $32.36 | Facility | None | $26.92 | $28.84 | $32.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $389.05 | Professional | None (both parts) | $114.82 | $141.25 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $117.49 | Professional | 26 · Professional part | $23.99 | $28.18 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $338.84 | Professional | TC · Technical part | $89.13 | $109.65 | $338.84 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $309.03 Typical High $524.81 | Facility | None | $95.50 | $309.03 | $524.81 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $173.78 | Professional | None (both parts) | $79.43 | $114.82 | $173.78 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.44 Typical High $33.88 | Professional | 26 · Professional part | $16.22 | $23.44 | $33.88 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $91.20 Typical High $141.25 | Professional | TC · Technical part | $64.57 | $91.20 | $141.25 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $190.55 Typical High $234.42 | Professional | None (both parts) | $107.15 | $190.55 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $323.59 Typical High $1,174.90 | Facility | None | $204.17 | $323.59 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $95.50 | $173.78 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $58.88 | Professional | 26 · Professional part | $28.18 | $30.90 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $144.54 Typical High $275.42 | Professional | TC · Technical part | $64.57 | $144.54 | $275.42 |
Contra Costa Health Setting Professional Modifier None Typical Low $85.11 Median $204.17 Typical High $229.09 | Professional | None | $85.11 | $204.17 | $229.09 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $32.36 | $37.15 | $56.23 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $173.78 Typical High $190.55 | Professional | TC · Technical part | $38.02 | $173.78 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $186.21 Typical High $363.08 | Professional | None | $154.88 | $186.21 | $363.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $67.61 | Professional | 26 · Professional part | $26.30 | $32.36 | $67.61 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $169.82 Typical High $346.74 | Professional | TC · Technical part | $134.90 | $169.82 | $346.74 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $1,174.90 | $1,318.26 | $1,318.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 26 · Professional part | $616.60 | $616.60 | $616.60 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $1,000.00 | $1,096.48 | $1,096.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $39.81 Median $199.53 Typical High $239.88 | Professional | None (both parts) | $39.81 | $199.53 | $239.88 |
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 $234.42 Typical High $389.05 | Facility | None | $112.20 | $234.42 | $389.05 |
Providence Setting Professional Modifier None (both parts) Typical Low $95.50 Median $173.78 Typical High $354.81 | Professional | None (both parts) | $95.50 | $173.78 | $354.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.20 Typical High $51.29 | Professional | 26 · Professional part | $28.18 | $30.20 | $51.29 |
Providence Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $144.54 Typical High $257.04 | Professional | TC · Technical part | $64.57 | $144.54 | $257.04 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $380.19 | $380.19 | $380.19 |
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 $107.15 Median $162.18 Typical High $316.23 | Professional | None (both parts) | $107.15 | $162.18 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.84 Typical High $57.54 | Professional | 26 · Professional part | $21.38 | $28.84 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $125.89 Typical High $251.19 | Professional | TC · Technical part | $81.28 | $125.89 | $251.19 |
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 $74.13 Median $81.28 Typical High $97.72 | Professional | 52 · Reduced service | $74.13 | $81.28 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $32.36 Typical High $38.90 | Professional | 53 · Discontinued | $29.51 | $32.36 | $38.90 |
Where California sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 35th of 51
$166
AK $347NM $120
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.