How much rates vary
Facilitymedian $44 · 10th to 90th $9 to $138Professionalmedian $34 · 10th to 90th $19 to $62
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 $26.30 Median $50.12 Typical High $85.11 | Facility | None | $26.30 | $50.12 | $85.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $5.62 Median $9.77 Typical High $13.49 | Facility | 26 · Professional part | $5.62 | $9.77 | $13.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $44.67 Typical High $72.44 | Facility | TC · Technical part | $23.99 | $44.67 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $29.51 Typical High $77.62 | Professional | None (both parts) | $26.30 | $29.51 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $6.03 Typical High $14.45 | Professional | 26 · Professional part | $5.62 | $6.03 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.99 Typical High $61.66 | Professional | TC · Technical part | $20.42 | $23.99 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $120.23 Typical High $151.36 | Facility | None | $93.33 | $120.23 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.88 Typical High $50.12 | Professional | None (both parts) | $30.20 | $33.88 | $50.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.76 Typical High $10.96 | Professional | 26 · Professional part | $6.92 | $7.76 | $10.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.30 Typical High $37.15 | Professional | TC · Technical part | $23.44 | $26.30 | $37.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $7.59 Median $33.88 Typical High $38.90 | Professional | None (both parts) | $7.59 | $33.88 | $38.90 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.46 Typical High $7.94 | Professional | 26 · Professional part | $5.75 | $6.46 | $7.94 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $27.54 Typical High $28.18 | Professional | TC · Technical part | $25.12 | $27.54 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $63.10 Typical High $138.04 | Facility | None | $26.92 | $63.10 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.45 Median $21.38 Typical High $69.18 | Professional | None (both parts) | $14.45 | $21.38 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $3.80 Typical High $15.14 | Professional | 26 · Professional part | $2.95 | $3.80 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $17.38 Typical High $52.48 | Professional | TC · Technical part | $11.48 | $17.38 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $38.02 Typical High $47.86 | Professional | None | $35.48 | $38.02 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $54.95 Median $67.61 Typical High $67.61 | Facility | None | $54.95 | $67.61 | $67.61 |
Medcost Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $48.98 | Professional | None (both parts) | $24.55 | $24.55 | $48.98 |
Sentara Setting Facility Modifier None Typical Low $7.94 Median $33.11 Typical High $138.04 | Facility | None | $7.94 | $33.11 | $138.04 |
Sentara Setting Professional Modifier None (both parts) Typical Low $10.00 Median $45.71 Typical High $72.44 | Professional | None (both parts) | $10.00 | $45.71 | $72.44 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.71 Typical High $15.49 | Professional | 26 · Professional part | $7.08 | $8.71 | $15.49 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $48.98 Typical High $63.10 | Professional | TC · Technical part | $35.48 | $48.98 | $63.10 |
United Setting Facility Modifier None Typical Low $70.79 Median $77.62 Typical High $173.78 | Facility | None | $70.79 | $77.62 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $20.42 Median $33.11 Typical High $81.28 | Professional | None (both parts) | $20.42 | $33.11 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $4.27 Median $7.24 Typical High $14.45 | Professional | 26 · Professional part | $4.27 | $7.24 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $28.18 Typical High $69.18 | Professional | TC · Technical part | $15.49 | $28.18 | $69.18 |
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 $12.88 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $12.88 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $5.13 | $5.89 | $5.89 |
Where Virginia sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 36th of 51
$33.88
AK $123AR $28.18
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.