How much rates vary
Facilitymedian $148 · 10th to 90th $46 to $1,259Professionalmedian $93 · 10th to 90th $42 to $195
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 $93.33 Median $147.91 Typical High $208.93 | Facility | None | $93.33 | $147.91 | $208.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $54.95 Typical High $79.43 | Facility | 26 · Professional part | $28.84 | $54.95 | $79.43 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $93.33 Typical High $169.82 | Facility | TC · Technical part | $61.66 | $93.33 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $138.04 Typical High $257.04 | Professional | None (both parts) | $93.33 | $138.04 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $83.18 | Professional | 26 · Professional part | $28.18 | $30.90 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $107.15 Typical High $173.78 | Professional | TC · Technical part | $61.66 | $107.15 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,819.70 | Facility | None | $1,122.02 | $1,412.54 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $69.18 | Professional | None (both parts) | $41.69 | $41.69 | $69.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $27.54 | Professional | 26 · Professional part | $16.60 | $16.60 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $41.69 | Professional | TC · Technical part | $25.12 | $25.12 | $41.69 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $120.23 Median $147.91 Typical High $173.78 | Professional | None (both parts) | $120.23 | $147.91 | $173.78 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.11 Typical High $41.69 | Professional | 26 · Professional part | $29.51 | $33.11 | $41.69 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $102.33 | $114.82 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $177.83 Typical High $295.12 | Facility | None | $114.82 | $177.83 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $77.62 Typical High $208.93 | Professional | None (both parts) | $52.48 | $77.62 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $22.39 Typical High $81.28 | Professional | 26 · Professional part | $15.49 | $22.39 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $56.23 Typical High $141.25 | Professional | TC · Technical part | $30.90 | $56.23 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $158.49 Typical High $190.55 | Professional | None | $147.91 | $158.49 | $190.55 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $199.53 | Facility | None | $141.25 | $141.25 | $199.53 |
Medcost Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $138.04 | Professional | None (both parts) | $72.44 | $72.44 | $138.04 |
Sentara Setting Facility Modifier None Typical Low $40.74 Median $107.15 Typical High $398.11 | Facility | None | $40.74 | $107.15 | $398.11 |
Sentara Setting Professional Modifier None (both parts) Typical Low $61.66 Median $131.83 Typical High $302.00 | Professional | None (both parts) | $61.66 | $131.83 | $302.00 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $77.62 | Professional | 26 · Professional part | $42.66 | $56.23 | $77.62 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $131.83 Typical High $288.40 | Professional | TC · Technical part | $61.66 | $131.83 | $288.40 |
United Setting Facility Modifier None Typical Low $323.59 Median $354.81 Typical High $794.33 | Facility | None | $323.59 | $354.81 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $128.82 Typical High $229.09 | Professional | None (both parts) | $66.07 | $128.82 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $38.02 Typical High $79.43 | Professional | 26 · Professional part | $22.39 | $38.02 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $85.11 Typical High $154.88 | Professional | TC · Technical part | $34.67 | $85.11 | $154.88 |
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 $46.77 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $46.77 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $19.05 | $27.54 | $27.54 |
Where Virginia sits
The same service costs 5.2 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· 39th of 51
$115
AK $309AL $58.88
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.