How much rates vary
Facilitymedian $3,890 · 10th to 90th $209 to $8,511Professionalmedian $955 · 10th to 90th $631 to $5,754
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 $933.25 Median $977.24 Typical High $1,071.52 | Facility | None | $933.25 | $977.24 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $933.25 Typical High $1,174.90 | Professional | None (both parts) | $831.76 | $933.25 | $1,174.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $186.21 Typical High $309.03 | Professional | 26 · Professional part | $162.18 | $186.21 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $758.58 Typical High $954.99 | Professional | TC · Technical part | $676.08 | $758.58 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $190.55 Typical High $208.93 | Facility | None | $177.83 | $190.55 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $707.95 Median $933.25 Typical High $1,513.56 | Professional | None (both parts) | $707.95 | $933.25 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $181.97 Typical High $354.81 | Professional | 26 · Professional part | $154.88 | $181.97 | $354.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $741.31 Typical High $1,202.26 | Professional | TC · Technical part | $416.87 | $741.31 | $1,202.26 |
Blue Shield Setting Facility Modifier None Typical Low $1,348.96 Median $5,623.41 Typical High $9,332.54 | Facility | None | $1,348.96 | $5,623.41 | $9,332.54 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $630.96 Median $891.25 Typical High $1,174.90 | Professional | None (both parts) | $630.96 | $891.25 | $1,174.90 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $186.21 Typical High $251.19 | Professional | 26 · Professional part | $131.83 | $186.21 | $251.19 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $707.95 Typical High $933.25 | Professional | TC · Technical part | $501.19 | $707.95 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $2,344.23 | Facility | None | $776.25 | $776.25 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,047.13 Typical High $1,862.09 | Professional | None (both parts) | $912.01 | $1,047.13 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $199.53 Typical High $389.05 | Professional | 26 · Professional part | $177.83 | $199.53 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $851.14 Typical High $1,479.11 | Professional | TC · Technical part | $758.58 | $851.14 | $1,479.11 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $239.88 Typical High $295.12 | Professional | 26 · Professional part | $218.78 | $239.88 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $2,511.89 Typical High $4,265.80 | Professional | None | $630.96 | $2,511.89 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $218.78 Typical High $416.87 | Professional | 26 · Professional part | $181.97 | $218.78 | $416.87 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,754.40 Median $8,128.31 Typical High $8,128.31 | Professional | None (both parts) | $5,754.40 | $8,128.31 | $8,128.31 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,445.44 Median $1,548.82 Typical High $1,548.82 | Professional | 26 · Professional part | $1,445.44 | $1,548.82 | $1,548.82 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $4,677.35 Median $6,606.93 Typical High $6,606.93 | Professional | TC · Technical part | $4,677.35 | $6,606.93 | $6,606.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $309.03 | Professional | None (both parts) | $245.47 | $245.47 | $309.03 |
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 $346.74 Median $1,230.27 Typical High $2,187.76 | Facility | None | $346.74 | $1,230.27 | $2,187.76 |
Providence Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,047.13 Typical High $2,511.89 | Professional | None (both parts) | $912.01 | $1,047.13 | $2,511.89 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $199.53 Typical High $331.13 | Professional | 26 · Professional part | $173.78 | $199.53 | $331.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $851.14 Typical High $1,380.38 | Professional | TC · Technical part | $758.58 | $851.14 | $1,380.38 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 26 · Professional part | $616.60 | $616.60 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $831.76 Typical High $2,344.23 | Professional | None (both parts) | $446.68 | $831.76 | $2,344.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $186.21 Typical High $371.54 | Professional | 26 · Professional part | $144.54 | $186.21 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $660.69 Typical High $1,905.46 | Professional | TC · Technical part | $281.84 | $660.69 | $1,905.46 |
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 $416.87 Median $457.09 Typical High $537.03 | Professional | 52 · Reduced service | $416.87 | $457.09 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $186.21 Typical High $218.78 | Professional | 53 · Discontinued | $165.96 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $138.04 Typical High $162.18 | Professional | 55 · Aftercare only | $125.89 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $93.33 Typical High $107.15 | Professional | 56 · Pre-op care only | $83.18 | $93.33 | $107.15 |
Where California sits
The same service costs 9.1 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· 22nd of 51
$955
AK $2,188KY $240
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.