How much rates vary
Facilitymedian $110 · 10th to 90th $26 to $1,479Professionalmedian $54 · 10th to 90th $32 to $83
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 $48.98 Median $69.18 Typical High $87.10 | Facility | None | $48.98 | $69.18 | $87.10 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.18 Median $44.67 Typical High $53.70 | Facility | 26 · Professional part | $28.18 | $44.67 | $53.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $24.55 Typical High $36.31 | Facility | TC · Technical part | $20.42 | $24.55 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $53.70 Typical High $87.10 | Professional | None (both parts) | $48.98 | $53.70 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $53.70 | Professional | 26 · Professional part | $28.18 | $33.11 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.38 Typical High $36.31 | Professional | TC · Technical part | $19.50 | $21.38 | $36.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $53.70 Typical High $66.07 | Professional | None (both parts) | $32.36 | $53.70 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $52.48 | Professional | 26 · Professional part | $26.92 | $33.88 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.91 Typical High $27.54 | Professional | TC · Technical part | $19.05 | $22.91 | $27.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $22.39 Median $51.29 Typical High $67.61 | Professional | None (both parts) | $22.39 | $51.29 | $67.61 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $38.90 | Professional | 26 · Professional part | $29.51 | $32.36 | $38.90 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $32.36 | Professional | TC · Technical part | $24.55 | $24.55 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $40.74 Typical High $1,445.44 | Facility | None | $20.89 | $40.74 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $53.70 Typical High $81.28 | Professional | None (both parts) | $46.77 | $53.70 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $33.88 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $21.38 Typical High $33.88 | Professional | TC · Technical part | $15.14 | $21.38 | $33.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $58.88 Typical High $72.44 | Professional | None | $48.98 | $58.88 | $72.44 |
Medcost Setting Professional Modifier None Typical Low $58.88 Median $74.13 Typical High $74.13 | Professional | None | $58.88 | $74.13 | $74.13 |
Medcost Setting Facility Modifier None Typical Low $53.70 Median $63.10 Typical High $87.10 | Facility | None | $53.70 | $63.10 | $87.10 |
Medcost Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $57.54 | $57.54 | $57.54 |
Sentara Setting Facility Modifier None Typical Low $20.89 Median $54.95 Typical High $1,174.90 | Facility | None | $20.89 | $54.95 | $1,174.90 |
Sentara Setting Professional Modifier None (both parts) Typical Low $20.89 Median $53.70 Typical High $602.56 | Professional | None (both parts) | $20.89 | $53.70 | $602.56 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $66.07 | Professional | 26 · Professional part | $28.84 | $38.90 | $66.07 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $24.55 Typical High $45.71 | Professional | TC · Technical part | $19.05 | $24.55 | $45.71 |
United Setting Facility Modifier None Typical Low $100.00 Median $660.69 Typical High $2,041.74 | Facility | None | $100.00 | $660.69 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $60.26 Typical High $95.50 | Professional | None (both parts) | $38.90 | $60.26 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $38.90 Typical High $60.26 | Professional | 26 · Professional part | $23.99 | $38.90 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $20.89 Typical High $36.31 | Professional | TC · Technical part | $12.30 | $20.89 | $36.31 |
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 $22.39 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $22.39 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $8.91 | $10.72 | $10.72 |
Where Virginia sits
The same service costs 6.5 times more in Minnesota 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.
Virginia· 40th of 51
$54.95
MN $295KY $45.71
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.