How much rates vary
Facilitymedian $51 · 10th to 90th $25 to $132Professionalmedian $38 · 10th to 90th $22 to $79
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 $45.71 Median $60.26 Typical High $89.13 | Facility | None | $45.71 | $60.26 | $89.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $45.71 Typical High $54.95 | Facility | 26 · Professional part | $25.12 | $45.71 | $54.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.60 Median $22.91 Typical High $50.12 | Facility | TC · Technical part | $16.60 | $22.91 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $47.86 Typical High $112.20 | Professional | None (both parts) | $43.65 | $47.86 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $27.54 Typical High $70.79 | Professional | 26 · Professional part | $25.12 | $27.54 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.91 Typical High $47.86 | Professional | TC · Technical part | $18.20 | $22.91 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $117.49 Typical High $147.91 | Facility | None | $91.20 | $117.49 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $36.31 | Professional | None (both parts) | $21.88 | $21.88 | $36.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $18.62 Typical High $21.88 | Professional | 26 · Professional part | $13.18 | $18.62 | $21.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $8.71 Typical High $13.18 | Professional | TC · Technical part | $8.71 | $8.71 | $13.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.44 Median $48.98 Typical High $57.54 | Professional | None (both parts) | $23.44 | $48.98 | $57.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $32.36 | Professional | 26 · Professional part | $25.70 | $28.84 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $38.90 Typical High $74.13 | Facility | None | $25.12 | $38.90 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $27.54 Typical High $89.13 | Professional | None (both parts) | $21.38 | $27.54 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.60 Typical High $53.70 | Professional | 26 · Professional part | $13.18 | $16.60 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.17 Median $12.30 Typical High $36.31 | Professional | TC · Technical part | $6.17 | $12.30 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $60.26 Typical High $74.13 | Professional | None | $57.54 | $60.26 | $74.13 |
Medcost Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $97.72 | Facility | None | $56.23 | $56.23 | $97.72 |
Medcost Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $67.61 | Professional | None (both parts) | $32.36 | $32.36 | $67.61 |
Sentara Setting Facility Modifier None Typical Low $21.88 Median $47.86 Typical High $144.54 | Facility | None | $21.88 | $47.86 | $144.54 |
Sentara Setting Professional Modifier None (both parts) Typical Low $16.60 Median $52.48 Typical High $125.89 | Professional | None (both parts) | $16.60 | $52.48 | $125.89 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $35.48 | $38.02 | $66.07 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $33.88 Typical High $58.88 | Professional | TC · Technical part | $13.18 | $33.88 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $54.95 Typical High $107.15 | Professional | None (both parts) | $28.18 | $54.95 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $32.36 Typical High $64.57 | Professional | 26 · Professional part | $19.50 | $32.36 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $6.46 Median $18.20 Typical High $37.15 | Professional | TC · Technical part | $6.46 | $18.20 | $37.15 |
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 $21.88 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $21.88 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $8.71 | $9.55 | $9.55 |
Where Virginia sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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· 43rd of 51
$43.65
AK $141LA $30.20
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.