How much rates vary
Facilitymedian $170 · 10th to 90th $65 to $355Professionalmedian $83 · 10th to 90th $63 to $661
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 $74.13 Median $79.43 Typical High $87.10 | Facility | None | $74.13 | $79.43 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $77.62 Typical High $104.71 | Professional | None (both parts) | $69.18 | $77.62 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $37.15 | Professional | 26 · Professional part | $26.92 | $28.84 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $46.77 Typical High $67.61 | Professional | TC · Technical part | $41.69 | $46.77 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $32.36 Typical High $35.48 | Facility | None | $30.20 | $32.36 | $35.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $72.44 Typical High $186.21 | Professional | None (both parts) | $69.18 | $72.44 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $87.10 | Professional | 26 · Professional part | $27.54 | $31.62 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $42.66 Typical High $138.04 | Professional | TC · Technical part | $38.02 | $42.66 | $138.04 |
Blue Shield Setting Facility Modifier None Typical Low $74.13 Median $223.87 Typical High $389.05 | Facility | None | $74.13 | $223.87 | $389.05 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $44.67 Median $64.57 Typical High $100.00 | Professional | None (both parts) | $44.67 | $64.57 | $100.00 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $26.30 Typical High $38.90 | Professional | 26 · Professional part | $18.62 | $26.30 | $38.90 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $34.67 Typical High $54.95 | Professional | TC · Technical part | $23.99 | $34.67 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $79.43 Typical High $229.09 | Facility | None | $66.07 | $79.43 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $91.20 Typical High $177.83 | Professional | None (both parts) | $69.18 | $91.20 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $66.07 | Professional | 26 · Professional part | $30.90 | $33.88 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $58.88 Typical High $109.65 | Professional | TC · Technical part | $38.02 | $58.88 | $109.65 |
Contra Costa Health Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $151.36 | Professional | None | $112.20 | $125.89 | $151.36 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $51.29 | Professional | 26 · Professional part | $38.02 | $41.69 | $51.29 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $102.33 | Professional | TC · Technical part | $75.86 | $83.18 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $213.80 | Professional | None | $87.10 | $102.33 | $213.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $30.90 | $38.02 | $70.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $141.25 | Professional | TC · Technical part | $58.88 | $72.44 | $141.25 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $660.69 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $660.69 | $741.31 | $741.31 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $331.13 | $331.13 | $331.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $346.74 | $467.74 | $467.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $69.18 Typical High $112.20 | Professional | None (both parts) | $43.65 | $69.18 | $112.20 |
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 $74.13 Median $102.33 Typical High $151.36 | Facility | None | $74.13 | $102.33 | $151.36 |
Providence Setting Professional Modifier None (both parts) Typical Low $67.61 Median $91.20 Typical High $181.97 | Professional | None (both parts) | $67.61 | $91.20 | $181.97 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $30.90 | $33.11 | $57.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $58.88 Typical High $97.72 | Professional | TC · Technical part | $37.15 | $58.88 | $97.72 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $104.71 | $104.71 | $104.71 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $169.82 | $169.82 | $169.82 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $147.91 | Facility | None | $97.72 | $97.72 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $83.18 Typical High $177.83 | Professional | None (both parts) | $60.26 | $83.18 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $64.57 | Professional | 26 · Professional part | $24.55 | $32.36 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $50.12 Typical High $114.82 | Professional | TC · Technical part | $34.67 | $50.12 | $114.82 |
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 $33.88 Median $37.15 Typical High $43.65 | Professional | 52 · Reduced service | $33.88 | $37.15 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.14 Typical High $17.38 | Professional | 53 · Discontinued | $13.80 | $15.14 | $17.38 |
Where California sits
The same service costs 3.0 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· 38th of 51
$83.18
AK $204TX $69.18
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.