How much rates vary
Facilitymedian $79 · 10th to 90th $35 to $240Professionalmedian $59 · 10th to 90th $34 to $135
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 $57.54 Median $100.00 Typical High $204.17 | Facility | None | $57.54 | $100.00 | $204.17 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $39.81 Typical High $109.65 | Facility | 26 · Professional part | $22.39 | $39.81 | $109.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $66.07 Typical High $95.50 | Facility | TC · Technical part | $36.31 | $66.07 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $58.88 Typical High $151.36 | Professional | None (both parts) | $57.54 | $58.88 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $24.55 Typical High $63.10 | Professional | 26 · Professional part | $22.39 | $24.55 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $36.31 Typical High $87.10 | Professional | TC · Technical part | $33.11 | $36.31 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $309.03 | Facility | None | $190.55 | $245.47 | $309.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $72.44 | Professional | None (both parts) | $40.74 | $40.74 | $72.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $37.15 | Professional | 26 · Professional part | $22.39 | $22.39 | $37.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $33.11 | Professional | TC · Technical part | $18.62 | $18.62 | $33.11 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $25.70 Median $61.66 Typical High $72.44 | Professional | None (both parts) | $25.70 | $61.66 | $72.44 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $33.11 | Professional | 26 · Professional part | $22.91 | $22.91 | $33.11 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $50.12 | Professional | TC · Technical part | $38.02 | $38.02 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $97.72 Typical High $134.90 | Facility | None | $41.69 | $97.72 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $46.77 Typical High $138.04 | Professional | None (both parts) | $30.20 | $46.77 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $18.62 Typical High $74.13 | Professional | 26 · Professional part | $12.02 | $18.62 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.99 Typical High $67.61 | Professional | TC · Technical part | $17.38 | $23.99 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $93.33 | Professional | None | $70.79 | $75.86 | $93.33 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $144.54 Typical High $144.54 | Facility | None | $123.03 | $144.54 | $144.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $144.54 | Professional | None (both parts) | $53.70 | $53.70 | $144.54 |
Sentara Setting Facility Modifier None Typical Low $33.11 Median $66.07 Typical High $177.83 | Facility | None | $33.11 | $66.07 | $177.83 |
Sentara Setting Professional Modifier None (both parts) Typical Low $56.23 Median $97.72 Typical High $162.18 | Professional | None (both parts) | $56.23 | $97.72 | $162.18 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $56.23 Typical High $69.18 | Professional | 26 · Professional part | $27.54 | $56.23 | $69.18 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $51.29 Typical High $77.62 | Professional | TC · Technical part | $39.81 | $51.29 | $77.62 |
United Setting Facility Modifier None Typical Low $97.72 Median $109.65 Typical High $239.88 | Facility | None | $97.72 | $109.65 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $77.62 Typical High $169.82 | Professional | None (both parts) | $44.67 | $77.62 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $34.67 Typical High $85.11 | Professional | 26 · Professional part | $18.62 | $34.67 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $43.65 Typical High $87.10 | Professional | TC · Technical part | $25.12 | $43.65 | $87.10 |
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 $26.92 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $26.92 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $10.72 | $11.75 | $11.75 |
Where Virginia sits
The same service costs 3.6 times more in Wisconsin than in Alabama. 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· 38th of 51
$64.57
WI $155AL $42.66
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.