How much rates vary
Facilitymedian $155 · 10th to 90th $46 to $316Professionalmedian $95 · 10th to 90th $54 to $178
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 $114.82 Median $144.54 Typical High $269.15 | Facility | None | $114.82 | $144.54 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $114.82 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $33.88 | Professional | 26 · Professional part | $30.20 | $31.62 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $81.28 | $112.20 | $112.20 |
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 $53.70 Median $53.70 Typical High $89.13 | Professional | None (both parts) | $53.70 | $53.70 | $89.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $26.92 | Professional | 26 · Professional part | $16.22 | $16.22 | $26.92 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $61.66 | Professional | TC · Technical part | $37.15 | $37.15 | $61.66 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $30.90 Median $131.83 Typical High $147.91 | Professional | None (both parts) | $30.90 | $131.83 | $147.91 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $36.31 | Professional | 26 · Professional part | $28.18 | $28.18 | $36.31 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $117.49 | Professional | TC · Technical part | $102.33 | $102.33 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $194.98 Typical High $309.03 | Facility | None | $128.82 | $194.98 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $81.28 Typical High $218.78 | Professional | None (both parts) | $56.23 | $81.28 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.42 Typical High $67.61 | Professional | 26 · Professional part | $16.60 | $20.42 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $64.57 Typical High $154.88 | Professional | TC · Technical part | $36.31 | $64.57 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $173.78 Typical High $204.17 | Professional | None | $162.18 | $173.78 | $204.17 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $239.88 | Facility | None | $141.25 | $141.25 | $239.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $109.65 | Professional | None (both parts) | $44.67 | $44.67 | $109.65 |
Sentara Setting Facility Modifier None Typical Low $42.66 Median $123.03 Typical High $436.52 | Facility | None | $42.66 | $123.03 | $436.52 |
Sentara Setting Professional Modifier None (both parts) Typical Low $52.48 Median $123.03 Typical High $251.19 | Professional | None (both parts) | $52.48 | $123.03 | $251.19 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $34.67 | $40.74 | $70.79 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $109.65 Typical High $229.09 | Professional | TC · Technical part | $61.66 | $109.65 | $229.09 |
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 $75.86 Median $141.25 Typical High $269.15 | Professional | None (both parts) | $75.86 | $141.25 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $40.74 Typical High $83.18 | Professional | 26 · Professional part | $23.99 | $40.74 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $100.00 Typical High $190.55 | Professional | TC · Technical part | $47.86 | $100.00 | $190.55 |
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 $57.54 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $57.54 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $22.91 | $28.84 | $28.84 |
Where Virginia sits
The same service costs 5.8 times more in Alaska 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· 41st of 51
$115
AK $331AL $57.54
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.