How much rates vary
Facilitymedian $234 · 10th to 90th $85 to $1,072Professionalmedian $112 · 10th to 90th $85 to $692
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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $141.25 | Professional | None (both parts) | $97.72 | $112.20 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $93.33 Typical High $104.71 | Professional | TC · Technical part | $89.13 | $93.33 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $107.15 Typical High $120.23 | Facility | None | $102.33 | $107.15 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $288.40 | Professional | None (both parts) | $100.00 | $107.15 | $288.40 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.88 Typical High $52.48 | Professional | TC · Technical part | $25.70 | $33.88 | $52.48 |
Blue Shield Setting Facility Modifier None Typical Low $75.86 Median $251.19 Typical High $467.74 | Facility | None | $75.86 | $251.19 | $467.74 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $70.79 Median $102.33 Typical High $147.91 | Professional | None (both parts) | $70.79 | $102.33 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $1,122.02 Typical High $3,890.45 | Facility | None | $114.82 | $1,122.02 | $3,890.45 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $158.49 Typical High $489.78 | Professional | None (both parts) | $109.65 | $158.49 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $107.15 Typical High $177.83 | Professional | TC · Technical part | $100.00 | $107.15 | $177.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $131.83 | Professional | None | $97.72 | $107.15 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $194.98 | Professional | None | $81.28 | $91.20 | $194.98 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $691.83 | $707.95 | $707.95 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $602.56 | $602.56 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
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 $93.33 Median $144.54 Typical High $1,122.02 | Facility | None | $93.33 | $144.54 | $1,122.02 |
Providence Setting Professional Modifier None (both parts) Typical Low $109.65 Median $169.82 Typical High $489.78 | Professional | None (both parts) | $109.65 | $169.82 | $489.78 |
Providence Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $107.15 Typical High $158.49 | Professional | TC · Technical part | $100.00 | $107.15 | $158.49 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
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 $85.11 Median $109.65 Typical High $213.80 | Professional | None (both parts) | $85.11 | $109.65 | $213.80 |
3 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 $44.67 Median $46.77 Typical High $57.54 | Professional | 52 · Reduced service | $44.67 | $46.77 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $18.62 Typical High $22.91 | Professional | 53 · Discontinued | $17.78 | $18.62 | $22.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $134.90 Typical High $186.21 | Professional | 26 · Professional part | $102.33 | $134.90 | $186.21 |
Where California sits
The same service costs 3.2 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· 38th of 51
$112
AK $282FL $89.13
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.