How much rates vary
Facilitymedian $110 · 10th to 90th $41 to $214Professionalmedian $78 · 10th to 90th $56 to $692
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 $64.57 Median $69.18 Typical High $74.13 | Facility | None | $64.57 | $69.18 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $74.13 Typical High $181.97 | Professional | None (both parts) | $64.57 | $74.13 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $56.23 | Professional | 26 · Professional part | $30.90 | $34.67 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $39.81 Typical High $128.82 | Professional | TC · Technical part | $33.11 | $39.81 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $190.55 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $190.55 | $194.98 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $28.18 Typical High $30.90 | Facility | None | $26.30 | $28.18 | $30.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $63.10 Typical High $223.87 | Professional | None (both parts) | $60.26 | $63.10 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $91.20 | Professional | 26 · Professional part | $31.62 | $35.48 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $27.54 Typical High $128.82 | Professional | TC · Technical part | $25.70 | $27.54 | $128.82 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $120.23 Typical High $213.80 | Facility | None | $48.98 | $120.23 | $213.80 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $36.31 Median $52.48 Typical High $79.43 | Professional | None (both parts) | $36.31 | $52.48 | $79.43 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.84 Typical High $41.69 | Professional | 26 · Professional part | $19.95 | $28.84 | $41.69 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $17.78 Typical High $29.51 | Professional | TC · Technical part | $12.30 | $17.78 | $29.51 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $28.18 Median $57.54 Typical High $158.49 | Professional | None (both parts) | $28.18 | $57.54 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $169.82 Typical High $588.84 | Facility | None | $120.23 | $169.82 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $89.13 Typical High $199.53 | Professional | None (both parts) | $56.23 | $89.13 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $74.13 | Professional | 26 · Professional part | $34.67 | $37.15 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $53.70 Typical High $131.83 | Professional | TC · Technical part | $19.50 | $53.70 | $131.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $22.39 Median $141.25 Typical High $154.88 | Professional | None | $22.39 | $141.25 | $154.88 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $40.74 Typical High $44.67 | Professional | 26 · Professional part | $16.60 | $40.74 | $44.67 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $5.62 Median $102.33 Typical High $112.20 | Professional | TC · Technical part | $5.62 | $102.33 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $251.19 | Professional | None | $107.15 | $128.82 | $251.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $85.11 | Professional | 26 · Professional part | $33.11 | $40.74 | $85.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $204.17 | Professional | TC · Technical part | $79.43 | $100.00 | $204.17 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $912.01 Typical High $912.01 | Professional | None (both parts) | $691.83 | $912.01 | $912.01 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $234.42 | $281.84 | $281.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $630.96 Typical High $630.96 | Professional | TC · Technical part | $467.74 | $630.96 | $630.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $47.86 Median $93.33 Typical High $141.25 | Professional | None (both parts) | $47.86 | $93.33 | $141.25 |
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 $64.57 Median $97.72 Typical High $177.83 | Facility | None | $64.57 | $97.72 | $177.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $56.23 Median $89.13 Typical High $213.80 | Professional | None (both parts) | $56.23 | $89.13 | $213.80 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $63.10 | Professional | 26 · Professional part | $34.67 | $36.31 | $63.10 |
Providence Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $53.70 Typical High $120.23 | Professional | TC · Technical part | $19.50 | $53.70 | $120.23 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $114.82 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $199.53 | $199.53 | $199.53 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $323.59 | Facility | None | $213.80 | $213.80 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $95.50 Typical High $204.17 | Professional | None (both parts) | $58.88 | $95.50 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $70.79 | Professional | 26 · Professional part | $26.92 | $35.48 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $58.88 Typical High $134.90 | Professional | TC · Technical part | $23.44 | $58.88 | $134.90 |
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 $31.62 Median $32.36 Typical High $54.95 | Professional | 52 · Reduced service | $31.62 | $32.36 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.88 Typical High $21.88 | Professional | 53 · Discontinued | $12.59 | $12.88 | $21.88 |
Where California sits
The same service costs 3.5 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· 49th of 51
$77.62
AK $229KY $64.57
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.