How much rates vary
Facilitymedian $195 · 10th to 90th $72 to $603Professionalmedian $93 · 10th to 90th $72 to $537
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $112.20 | Professional | None (both parts) | $75.86 | $87.10 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $85.11 Typical High $95.50 | Professional | TC · Technical part | $81.28 | $85.11 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $91.20 Typical High $100.00 | Facility | None | $85.11 | $91.20 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $89.13 Typical High $257.04 | Professional | None (both parts) | $83.18 | $89.13 | $257.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.84 Typical High $43.65 | Professional | TC · Technical part | $21.38 | $28.84 | $43.65 |
Blue Shield Setting Facility Modifier None Typical Low $66.07 Median $213.80 Typical High $407.38 | Facility | None | $66.07 | $213.80 | $407.38 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $60.26 Median $87.10 Typical High $125.89 | Professional | None (both parts) | $60.26 | $87.10 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $602.56 Typical High $1,995.26 | Facility | None | $87.10 | $602.56 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $125.89 Typical High $371.54 | Professional | None (both parts) | $83.18 | $125.89 | $371.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $97.72 Typical High $144.54 | Professional | TC · Technical part | $91.20 | $97.72 | $144.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $79.43 Median $87.10 Typical High $107.15 | Professional | None | $79.43 | $87.10 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $162.18 | Professional | None | $66.07 | $74.13 | $162.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $537.03 | $575.44 | $575.44 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $467.74 | $467.74 | $467.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
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 $85.11 Median $131.83 Typical High $602.56 | Facility | None | $85.11 | $131.83 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $83.18 Median $128.82 Typical High $371.54 | Professional | None (both parts) | $83.18 | $128.82 | $371.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $97.72 Typical High $134.90 | Professional | TC · Technical part | $87.10 | $97.72 | $134.90 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
United Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $933.25 | Facility | None | $616.60 | $616.60 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $89.13 Typical High $181.97 | Professional | None (both parts) | $72.44 | $89.13 | $181.97 |
5 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 $40.74 Median $42.66 Typical High $47.86 | Professional | 52 · Reduced service | $40.74 | $42.66 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.98 Typical High $19.05 | Professional | 53 · Discontinued | $16.22 | $16.98 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.88 Typical High $14.13 | Professional | 55 · Aftercare only | $12.30 | $12.88 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.51 Typical High $9.55 | Professional | 56 · Pre-op care only | $8.13 | $8.51 | $9.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $85.11 | $109.65 | $154.88 |
Where California sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 35th of 51
$93.33
AK $219FL $75.86
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.