How much rates vary
Facilitymedian $100 · 10th to 90th $16 to $214Professionalmedian $62 · 10th to 90th $29 to $123
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 $61.66 Median $107.15 Typical High $138.04 | Facility | None | $61.66 | $107.15 | $138.04 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $16.98 Typical High $22.39 | Facility | 26 · Professional part | $9.77 | $16.98 | $22.39 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $141.25 | Facility | TC · Technical part | $63.10 | $91.20 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $74.13 Typical High $151.36 | Professional | None (both parts) | $61.66 | $74.13 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.72 Typical High $22.39 | Professional | 26 · Professional part | $9.77 | $10.72 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $125.89 | Professional | TC · Technical part | $51.29 | $64.57 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $165.96 Typical High $208.93 | Facility | None | $128.82 | $165.96 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $47.86 | Professional | None (both parts) | $28.84 | $28.84 | $47.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $9.55 | Professional | 26 · Professional part | $5.01 | $5.01 | $9.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $39.81 | Professional | TC · Technical part | $23.99 | $23.99 | $39.81 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $43.65 Median $85.11 Typical High $100.00 | Professional | None (both parts) | $43.65 | $85.11 | $100.00 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.22 Typical High $14.79 | Professional | 26 · Professional part | $10.00 | $11.22 | $14.79 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $66.07 | $72.44 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $128.82 Typical High $208.93 | Facility | None | $70.79 | $128.82 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $42.66 Typical High $125.89 | Professional | None (both parts) | $33.88 | $42.66 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $6.61 Typical High $25.70 | Professional | 26 · Professional part | $5.25 | $6.61 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $36.31 Typical High $102.33 | Professional | TC · Technical part | $28.18 | $36.31 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $93.33 Typical High $117.49 | Professional | None | $87.10 | $93.33 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $131.83 | Facility | None | $100.00 | $100.00 | $131.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $8.91 Median $8.91 Typical High $54.95 | Professional | None (both parts) | $8.91 | $8.91 | $54.95 |
Sentara Setting Facility Modifier None Typical Low $13.80 Median $74.13 Typical High $295.12 | Facility | None | $13.80 | $74.13 | $295.12 |
Sentara Setting Professional Modifier None (both parts) Typical Low $15.49 Median $83.18 Typical High $181.97 | Professional | None (both parts) | $15.49 | $83.18 | $181.97 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.14 Typical High $26.30 | Professional | 26 · Professional part | $11.75 | $15.14 | $26.30 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $93.33 Typical High $169.82 | Professional | TC · Technical part | $53.70 | $93.33 | $169.82 |
United Setting Facility Modifier None Typical Low $251.19 Median $275.42 Typical High $616.60 | Facility | None | $251.19 | $275.42 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $77.62 Typical High $147.91 | Professional | None (both parts) | $41.69 | $77.62 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.59 Typical High $25.70 | Professional | 26 · Professional part | $7.59 | $12.59 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $64.57 Typical High $120.23 | Professional | TC · Technical part | $33.11 | $64.57 | $120.23 |
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 $30.90 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $30.90 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $12.30 | $14.79 | $14.79 |
Where Virginia sits
The same service costs 6.0 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· 34th of 51
$74.13
AK $209AL $34.67
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.