How much rates vary
Facilitymedian $3,890 · 10th to 90th $245 to $9,772Professionalmedian $1,259 · 10th to 90th $977 to $6,607
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 $1,071.52 Median $1,122.02 Typical High $1,258.93 | Facility | None | $1,071.52 | $1,122.02 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,071.52 Typical High $1,348.96 | Professional | None (both parts) | $954.99 | $1,071.52 | $1,348.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $213.80 Typical High $346.74 | Professional | 26 · Professional part | $186.21 | $213.80 | $346.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $870.96 Typical High $1,096.48 | Professional | TC · Technical part | $776.25 | $870.96 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $223.87 Typical High $245.47 | Facility | None | $208.93 | $223.87 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,071.52 Typical High $1,778.28 | Professional | None (both parts) | $758.58 | $1,071.52 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $213.80 Typical High $407.38 | Professional | 26 · Professional part | $177.83 | $213.80 | $407.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $870.96 Typical High $1,445.44 | Professional | TC · Technical part | $457.09 | $870.96 | $1,445.44 |
Blue Shield Setting Facility Modifier None Typical Low $1,380.38 Median $6,165.95 Typical High $10,964.78 | Facility | None | $1,380.38 | $6,165.95 | $10,964.78 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,412.54 Typical High $1,819.70 | Professional | None (both parts) | $977.24 | $1,412.54 | $1,819.70 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $218.78 Typical High $295.12 | Professional | 26 · Professional part | $154.88 | $218.78 | $295.12 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,202.26 Typical High $1,548.82 | Professional | TC · Technical part | $831.76 | $1,202.26 | $1,548.82 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $2,187.76 Typical High $2,187.76 | Professional | None (both parts) | $1,584.89 | $2,187.76 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $3,890.45 | Facility | None | $1,071.52 | $1,122.02 | $3,890.45 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,230.27 Typical High $2,137.96 | Professional | None (both parts) | $1,096.48 | $1,230.27 | $2,137.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $223.87 Typical High $446.68 | Professional | 26 · Professional part | $208.93 | $223.87 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,000.00 Typical High $1,737.80 | Professional | TC · Technical part | $870.96 | $1,000.00 | $1,737.80 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $275.42 Typical High $338.84 | Professional | 26 · Professional part | $251.19 | $275.42 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $4,365.16 | Professional | None | $1,698.24 | $1,995.26 | $4,365.16 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $251.19 Typical High $467.74 | Professional | 26 · Professional part | $208.93 | $251.19 | $467.74 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,606.93 Median $9,332.54 Typical High $9,332.54 | Professional | None (both parts) | $6,606.93 | $9,332.54 | $9,332.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,737.80 Median $1,778.28 Typical High $1,778.28 | Professional | 26 · Professional part | $1,737.80 | $1,778.28 | $1,778.28 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,248.07 Median $7,585.78 Typical High $7,585.78 | Professional | TC · Technical part | $5,248.07 | $7,585.78 | $7,585.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $371.54 | Professional | None (both parts) | $281.84 | $281.84 | $371.54 |
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 $724.44 Median $1,513.56 Typical High $2,691.53 | Facility | None | $724.44 | $1,513.56 | $2,691.53 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,230.27 Typical High $2,884.03 | Professional | None (both parts) | $1,096.48 | $1,230.27 | $2,884.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $223.87 Typical High $380.19 | Professional | 26 · Professional part | $204.17 | $223.87 | $380.19 |
Providence Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,000.00 Typical High $1,659.59 | Professional | TC · Technical part | $891.25 | $1,000.00 | $1,659.59 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 26 · Professional part | $707.95 | $707.95 | $707.95 |
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 $741.31 Median $1,548.82 Typical High $3,548.13 | Professional | None (both parts) | $741.31 | $1,548.82 | $3,548.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $213.80 Typical High $426.58 | Professional | 26 · Professional part | $165.96 | $213.80 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $1,348.96 Typical High $3,235.94 | Professional | TC · Technical part | $457.09 | $1,348.96 | $3,235.94 |
4 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 $478.63 Median $537.03 Typical High $630.96 | Professional | 52 · Reduced service | $478.63 | $537.03 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $213.80 Typical High $251.19 | Professional | 53 · Discontinued | $190.55 | $213.80 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $158.49 Typical High $186.21 | Professional | 55 · Aftercare only | $144.54 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $107.15 Typical High $125.89 | Professional | 56 · Pre-op care only | $95.50 | $107.15 | $125.89 |
Where California sits
The same service costs 11.2 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· 19th of 51
$1,288
AK $3,020KY $269
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.