How much rates vary
Facilitymedian $282 · 10th to 90th $87 to $501Professionalmedian $155 · 10th to 90th $102 to $1,023
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 $158.49 Median $165.96 Typical High $186.21 | Facility | None | $158.49 | $165.96 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $234.42 | Professional | None (both parts) | $141.25 | $158.49 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.70 Typical High $41.69 | Professional | 26 · Professional part | $24.55 | $25.70 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $131.83 Typical High $194.98 | Professional | TC · Technical part | $117.49 | $131.83 | $194.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $29.51 Typical High $32.36 | Facility | None | $27.54 | $29.51 | $32.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $138.04 Typical High $398.11 | Professional | None (both parts) | $125.89 | $138.04 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $97.72 | Professional | 26 · Professional part | $24.55 | $28.18 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $302.00 | Professional | TC · Technical part | $75.86 | $107.15 | $302.00 |
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 $77.62 Median $112.20 Typical High $169.82 | Professional | None (both parts) | $77.62 | $112.20 | $169.82 |
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 $61.66 Median $89.13 Typical High $138.04 | Professional | TC · Technical part | $61.66 | $89.13 | $138.04 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $147.91 | $208.93 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $323.59 Typical High $1,174.90 | Facility | None | $186.21 | $323.59 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $158.49 Typical High $316.23 | Professional | None (both parts) | $93.33 | $158.49 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $57.54 | Professional | 26 · Professional part | $26.92 | $29.51 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $128.82 Typical High $257.04 | Professional | TC · Technical part | $63.10 | $128.82 | $257.04 |
Contra Costa Health Setting Professional Modifier None Typical Low $123.03 Median $186.21 Typical High $204.17 | Professional | None | $123.03 | $186.21 | $204.17 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.88 Typical High $67.61 | Professional | 26 · Professional part | $30.20 | $33.88 | $67.61 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $154.88 Typical High $169.82 | Professional | TC · Technical part | $54.95 | $154.88 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $323.59 | Professional | None | $138.04 | $165.96 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $64.57 | Professional | 26 · Professional part | $25.12 | $30.20 | $64.57 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $151.36 Typical High $309.03 | Professional | TC · Technical part | $120.23 | $151.36 | $309.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $1,023.29 | $1,174.90 | $1,174.90 |
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 $851.14 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $851.14 | $954.99 | $954.99 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.02 Median $173.78 Typical High $213.80 | Professional | None (both parts) | $38.02 | $173.78 | $213.80 |
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 $109.65 Median $223.87 Typical High $338.84 | Facility | None | $109.65 | $223.87 | $338.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $93.33 Median $158.49 Typical High $323.59 | Professional | None (both parts) | $93.33 | $158.49 | $323.59 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $48.98 | Professional | 26 · Professional part | $26.92 | $29.51 | $48.98 |
Providence Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $128.82 Typical High $234.42 | Professional | TC · Technical part | $63.10 | $128.82 | $234.42 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $354.81 | $354.81 | $354.81 |
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 $100.00 Median $147.91 Typical High $295.12 | Professional | None (both parts) | $100.00 | $147.91 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.18 Typical High $54.95 | Professional | 26 · Professional part | $20.89 | $28.18 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $117.49 Typical High $239.88 | Professional | TC · Technical part | $77.62 | $117.49 | $239.88 |
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 $70.79 Median $79.43 Typical High $93.33 | Professional | 52 · Reduced service | $70.79 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $31.62 Typical High $37.15 | Professional | 53 · Discontinued | $28.18 | $31.62 | $37.15 |
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· 29th of 51
$158
AK $324TX $102
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.