How much rates vary
Facilitymedian $2,138 · 10th to 90th $126 to $4,467Professionalmedian $550 · 10th to 90th $427 to $3,548
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 $457.09 Median $512.86 Typical High $537.03 | Facility | None | $457.09 | $512.86 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $512.86 Typical High $1,023.29 | Professional | None (both parts) | $457.09 | $512.86 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $117.49 Typical High $190.55 | Professional | 26 · Professional part | $104.71 | $117.49 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $389.05 Typical High $831.76 | Professional | TC · Technical part | $346.74 | $389.05 | $831.76 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $263.03 | Professional | 26 · Professional part | $120.23 | $120.23 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $114.82 Typical High $128.82 | Facility | None | $109.65 | $114.82 | $128.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $416.87 Median $501.19 Typical High $1,445.44 | Professional | None (both parts) | $416.87 | $501.19 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $112.20 Typical High $309.03 | Professional | 26 · Professional part | $104.71 | $112.20 | $309.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $380.19 Typical High $1,174.90 | Professional | TC · Technical part | $331.13 | $380.19 | $1,174.90 |
Blue Shield Setting Facility Modifier None Typical Low $141.25 Median $2,884.03 Typical High $4,786.30 | Facility | None | $141.25 | $2,884.03 | $4,786.30 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $316.23 Median $457.09 Typical High $691.83 | Professional | None (both parts) | $316.23 | $457.09 | $691.83 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $100.00 Typical High $147.91 | Professional | 26 · Professional part | $70.79 | $100.00 | $147.91 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $354.81 Typical High $537.03 | Professional | TC · Technical part | $245.47 | $354.81 | $537.03 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $741.31 Typical High $912.01 | Professional | None (both parts) | $501.19 | $741.31 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,122.02 Typical High $3,890.45 | Facility | None | $645.65 | $1,122.02 | $3,890.45 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $588.84 Typical High $1,230.27 | Professional | None (both parts) | $512.86 | $588.84 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $138.04 Typical High $257.04 | Professional | 26 · Professional part | $120.23 | $138.04 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $446.68 Typical High $954.99 | Professional | TC · Technical part | $398.11 | $446.68 | $954.99 |
Contra Costa Health Setting Professional Modifier None Typical Low $416.87 Median $794.33 Typical High $891.25 | Professional | None | $416.87 | $794.33 | $891.25 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $141.25 Typical High $158.49 | Professional | 26 · Professional part | $95.50 | $141.25 | $158.49 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $660.69 Typical High $724.44 | Professional | TC · Technical part | $323.59 | $660.69 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $1,513.56 | Professional | None | $602.56 | $724.44 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $141.25 Typical High $288.40 | Professional | 26 · Professional part | $114.82 | $141.25 | $288.40 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $645.65 Typical High $1,258.93 | Professional | TC · Technical part | $512.86 | $645.65 | $1,258.93 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $5,128.61 Typical High $5,128.61 | Professional | None (both parts) | $3,548.13 | $5,128.61 | $5,128.61 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $741.31 Median $977.24 Typical High $977.24 | Professional | 26 · Professional part | $741.31 | $977.24 | $977.24 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,754.23 Median $4,073.80 Typical High $4,073.80 | Professional | TC · Technical part | $2,754.23 | $4,073.80 | $4,073.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $165.96 Median $588.84 Typical High $758.58 | Professional | None (both parts) | $165.96 | $588.84 | $758.58 |
Providence Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $1,258.93 | Facility | None | $457.09 | $724.44 | $1,258.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $512.86 Median $588.84 Typical High $1,230.27 | Professional | None (both parts) | $512.86 | $588.84 | $1,230.27 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $131.83 Typical High $218.78 | Professional | 26 · Professional part | $120.23 | $131.83 | $218.78 |
Providence Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $446.68 Typical High $831.76 | Professional | TC · Technical part | $398.11 | $446.68 | $831.76 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None (both parts) | $1,778.28 | $1,778.28 | $1,778.28 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $398.11 | $398.11 | $398.11 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | TC · Technical part | $1,380.38 | $1,380.38 | $1,380.38 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,187.76 | Facility | None | $1,412.54 | $1,412.54 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $549.54 Typical High $1,174.90 | Professional | None (both parts) | $398.11 | $549.54 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $123.03 Typical High $245.47 | Professional | 26 · Professional part | $91.20 | $123.03 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $416.87 Typical High $912.01 | Professional | TC · Technical part | $309.03 | $416.87 | $912.01 |
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 $218.78 Median $229.09 Typical High $281.84 | Professional | 52 · Reduced service | $218.78 | $229.09 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $91.20 Typical High $112.20 | Professional | 53 · Discontinued | $87.10 | $91.20 | $112.20 |
Where California sits
The same service costs 3.1 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· 37th of 51
$550
AK $1,259TX $407
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.