How much rates vary
Facilitymedian $575 · 10th to 90th $191 to $1,259Professionalmedian $525 · 10th to 90th $355 to $3,981
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 $489.78 Typical High $524.81 | Facility | None | $457.09 | $489.78 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $524.81 Typical High $954.99 | Professional | None (both parts) | $457.09 | $524.81 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $218.78 Typical High $309.03 | Professional | 26 · Professional part | $199.53 | $218.78 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $691.83 | Professional | TC · Technical part | $251.19 | $302.00 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $194.98 Typical High $213.80 | Facility | None | $181.97 | $194.98 | $213.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $426.58 Typical High $1,479.11 | Professional | None (both parts) | $380.19 | $426.58 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $208.93 Typical High $616.60 | Professional | 26 · Professional part | $194.98 | $208.93 | $616.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $186.21 Typical High $891.25 | Professional | TC · Technical part | $158.49 | $186.21 | $891.25 |
Blue Shield Setting Facility Modifier None Typical Low $173.78 Median $575.44 Typical High $954.99 | Facility | None | $173.78 | $575.44 | $954.99 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $245.47 Median $354.81 Typical High $537.03 | Professional | None (both parts) | $245.47 | $354.81 | $537.03 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $181.97 Typical High $275.42 | Professional | 26 · Professional part | $125.89 | $181.97 | $275.42 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $169.82 Typical High $251.19 | Professional | TC · Technical part | $120.23 | $169.82 | $251.19 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $831.76 Typical High $1,148.15 | Professional | None (both parts) | $371.54 | $831.76 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,122.02 Typical High $3,890.45 | Facility | None | $812.83 | $1,122.02 | $3,890.45 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $630.96 Typical High $1,318.26 | Professional | None (both parts) | $346.74 | $630.96 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $239.88 Typical High $467.74 | Professional | 26 · Professional part | $218.78 | $239.88 | $467.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $398.11 Typical High $891.25 | Professional | TC · Technical part | $120.23 | $398.11 | $891.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $245.47 Median $1,023.29 Typical High $1,122.02 | Professional | None | $245.47 | $1,023.29 | $1,122.02 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $269.15 Typical High $323.59 | Professional | 26 · Professional part | $199.53 | $269.15 | $323.59 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $758.58 Typical High $831.76 | Professional | TC · Technical part | $48.98 | $758.58 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $1,621.81 | Professional | None | $776.25 | $933.25 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $269.15 Typical High $562.34 | Professional | 26 · Professional part | $218.78 | $269.15 | $562.34 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $741.31 Typical High $1,380.38 | Professional | TC · Technical part | $588.84 | $741.31 | $1,380.38 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $6,606.93 Typical High $6,606.93 | Professional | None (both parts) | $3,981.07 | $6,606.93 | $6,606.93 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,412.54 Median $1,862.09 Typical High $1,862.09 | Professional | 26 · Professional part | $1,412.54 | $1,862.09 | $1,862.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,818.38 Median $4,677.35 Typical High $4,677.35 | Professional | TC · Technical part | $2,818.38 | $4,677.35 | $4,677.35 |
Molina Setting Professional Modifier None (both parts) Typical Low $316.23 Median $645.65 Typical High $954.99 | Professional | None (both parts) | $316.23 | $645.65 | $954.99 |
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 $416.87 Median $691.83 Typical High $1,258.93 | Facility | None | $416.87 | $691.83 | $1,258.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $346.74 Median $630.96 Typical High $1,412.54 | Professional | None (both parts) | $346.74 | $630.96 | $1,412.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $234.42 Typical High $407.38 | Professional | 26 · Professional part | $218.78 | $234.42 | $407.38 |
Providence Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $389.05 Typical High $812.83 | Professional | TC · Technical part | $120.23 | $389.05 | $812.83 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $1,949.84 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 26 · Professional part | $741.31 | $741.31 | $741.31 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $1,202.26 | $1,202.26 | $1,202.26 |
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 $616.60 Typical High $1,318.26 | Professional | None (both parts) | $398.11 | $616.60 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $229.09 Typical High $457.09 | Professional | 26 · Professional part | $173.78 | $229.09 | $457.09 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $371.54 Typical High $977.24 | Professional | TC · Technical part | $169.82 | $371.54 | $977.24 |
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 $213.80 Median $229.09 Typical High $338.84 | Professional | 52 · Reduced service | $213.80 | $229.09 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $91.20 Typical High $134.90 | Professional | 53 · Discontinued | $85.11 | $91.20 | $134.90 |
Where California sits
The same service costs 3.2 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· 44th of 51
$525
AK $1,445KY $447
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.