How much rates vary
Facilitymedian $123 · 10th to 90th $34 to $263Professionalmedian $85 · 10th to 90th $40 to $170
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 $89.13 Median $141.25 Typical High $173.78 | Facility | None | $89.13 | $141.25 | $173.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $36.31 Typical High $51.29 | Facility | 26 · Professional part | $21.38 | $36.31 | $51.29 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $107.15 Typical High $162.18 | Facility | TC · Technical part | $64.57 | $107.15 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $85.11 | $102.33 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $50.12 | Professional | 26 · Professional part | $21.38 | $23.44 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $79.43 Typical High $154.88 | Professional | TC · Technical part | $61.66 | $79.43 | $154.88 |
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 $39.81 Median $39.81 Typical High $66.07 | Professional | None (both parts) | $39.81 | $39.81 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $19.95 | Professional | 26 · Professional part | $11.22 | $11.22 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $47.86 | Professional | TC · Technical part | $28.18 | $28.18 | $47.86 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $21.88 Median $102.33 Typical High $134.90 | Professional | None (both parts) | $21.88 | $102.33 | $134.90 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $32.36 | Professional | 26 · Professional part | $24.55 | $24.55 | $32.36 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $104.71 | Professional | TC · Technical part | $81.28 | $89.13 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $162.18 Typical High $257.04 | Facility | None | $87.10 | $162.18 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $57.54 Typical High $177.83 | Professional | None (both parts) | $46.77 | $57.54 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.45 Typical High $48.98 | Professional | 26 · Professional part | $11.48 | $14.45 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $44.67 Typical High $128.82 | Professional | TC · Technical part | $33.88 | $44.67 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $125.89 Typical High $158.49 | Professional | None | $117.49 | $125.89 | $158.49 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $181.97 | Facility | None | $138.04 | $138.04 | $181.97 |
Medcost Setting Professional Modifier None (both parts) Typical Low $7.59 Median $7.59 Typical High $70.79 | Professional | None (both parts) | $7.59 | $7.59 | $70.79 |
Sentara Setting Facility Modifier None Typical Low $30.20 Median $91.20 Typical High $281.84 | Facility | None | $30.20 | $91.20 | $281.84 |
Sentara Setting Professional Modifier None (both parts) Typical Low $39.81 Median $97.72 Typical High $204.17 | Professional | None (both parts) | $39.81 | $97.72 | $204.17 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $27.54 | $33.11 | $57.54 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $87.10 Typical High $199.53 | Professional | TC · Technical part | $53.70 | $87.10 | $199.53 |
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 $56.23 Median $107.15 Typical High $204.17 | Professional | None (both parts) | $56.23 | $107.15 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $27.54 Typical High $56.23 | Professional | 26 · Professional part | $16.60 | $27.54 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $79.43 Typical High $147.91 | Professional | TC · Technical part | $37.15 | $79.43 | $147.91 |
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 $42.66 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $42.66 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $16.98 | $20.42 | $20.42 |
Where Virginia sits
The same service costs 5.5 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· 36th of 51
$97.72
AK $269AL $48.98
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.