How much rates vary
Facilitymedian $282 · 10th to 90th $87 to $468Professionalmedian $155 · 10th to 90th $102 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 $154.88 Typical High $173.78 | Facility | None | $147.91 | $154.88 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $288.40 | Professional | None (both parts) | $134.90 | $162.18 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $44.67 | Professional | 26 · Professional part | $24.55 | $28.18 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $239.88 | Professional | TC · Technical part | $109.65 | $134.90 | $239.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
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 $117.49 Median $138.04 Typical High $398.11 | Professional | None (both parts) | $117.49 | $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 $72.44 Median $104.71 Typical High $323.59 | Professional | TC · Technical part | $72.44 | $104.71 | $323.59 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $309.03 Typical High $478.63 | Facility | None | $95.50 | $309.03 | $478.63 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $75.86 Median $109.65 Typical High $165.96 | Professional | None (both parts) | $75.86 | $109.65 | $165.96 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.44 Typical High $34.67 | Professional | 26 · Professional part | $16.22 | $23.44 | $34.67 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $134.90 | Professional | TC · Technical part | $60.26 | $85.11 | $134.90 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $245.47 Typical High $263.03 | Professional | None (both parts) | $147.91 | $245.47 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $323.59 Typical High $1,174.90 | Facility | None | $213.80 | $323.59 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $165.96 Typical High $331.13 | Professional | None (both parts) | $95.50 | $165.96 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.90 Typical High $58.88 | Professional | 26 · Professional part | $27.54 | $30.90 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $138.04 Typical High $275.42 | Professional | TC · Technical part | $63.10 | $138.04 | $275.42 |
Contra Costa Health Setting Professional Modifier None Typical Low $123.03 Median $234.42 Typical High $257.04 | Professional | None | $123.03 | $234.42 | $257.04 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $67.61 | Professional | 26 · Professional part | $31.62 | $35.48 | $67.61 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $199.53 Typical High $218.78 | Professional | TC · Technical part | $54.95 | $199.53 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $208.93 Typical High $389.05 | Professional | None | $173.78 | $208.93 | $389.05 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $66.07 | Professional | 26 · Professional part | $26.30 | $31.62 | $66.07 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $194.98 Typical High $380.19 | Professional | TC · Technical part | $154.88 | $194.98 | $380.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $954.99 | $1,479.11 | $1,479.11 |
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 $794.33 Median $1,258.93 Typical High $1,258.93 | Professional | TC · Technical part | $794.33 | $1,258.93 | $1,258.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.02 Median $208.93 Typical High $245.47 | Professional | None (both parts) | $38.02 | $208.93 | $245.47 |
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 $223.87 Typical High $331.13 | Facility | None | $112.20 | $223.87 | $331.13 |
Providence Setting Professional Modifier None (both parts) Typical Low $95.50 Median $165.96 Typical High $346.74 | Professional | None (both parts) | $95.50 | $165.96 | $346.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.90 Typical High $50.12 | Professional | 26 · Professional part | $27.54 | $30.90 | $50.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $138.04 Typical High $263.03 | Professional | TC · Technical part | $63.10 | $138.04 | $263.03 |
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 $102.33 Median $154.88 Typical High $309.03 | Professional | None (both parts) | $102.33 | $154.88 | $309.03 |
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 $79.43 Median $128.82 Typical High $263.03 | Professional | TC · Technical part | $79.43 | $128.82 | $263.03 |
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 $67.61 Median $74.13 Typical High $87.10 | Professional | 52 · Reduced service | $67.61 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $29.51 Typical High $35.48 | Professional | 53 · Discontinued | $26.92 | $29.51 | $35.48 |
Where California sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 38th of 51
$155
AK $324KY $115
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.