How much rates vary
Facilitymedian $219 · 10th to 90th $110 to $479Professionalmedian $145 · 10th to 90th $51 to $363
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 $190.55 Median $190.55 Typical High $204.17 | Facility | None | $190.55 | $190.55 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $186.21 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | 26 · Professional part | $100.00 | $100.00 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $81.28 | $102.33 | $102.33 |
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 $51.29 Median $109.65 Typical High $151.36 | Professional | None (both parts) | $51.29 | $109.65 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $91.20 | Professional | 26 · Professional part | $51.29 | $51.29 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $97.72 | Professional | TC · Technical part | $58.88 | $58.88 | $97.72 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $109.65 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $109.65 | $208.93 | $263.03 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $112.20 Typical High $131.83 | Professional | 26 · Professional part | $100.00 | $112.20 | $131.83 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $154.88 | Professional | TC · Technical part | $123.03 | $123.03 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $275.42 Typical High $407.38 | Facility | None | $117.49 | $275.42 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $389.05 | Professional | None (both parts) | $104.71 | $138.04 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $229.09 | Professional | 26 · Professional part | $52.48 | $67.61 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $69.18 Typical High $190.55 | Professional | TC · Technical part | $50.12 | $69.18 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $251.19 Typical High $316.23 | Professional | None | $239.88 | $251.19 | $316.23 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Medcost Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $363.08 | Professional | None (both parts) | $165.96 | $165.96 | $363.08 |
Sentara Setting Facility Modifier None Typical Low $102.33 Median $199.53 Typical High $616.60 | Facility | None | $102.33 | $199.53 | $616.60 |
Sentara Setting Professional Modifier None (both parts) Typical Low $151.36 Median $331.13 Typical High $549.54 | Professional | None (both parts) | $151.36 | $331.13 | $549.54 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $169.82 Typical High $275.42 | Professional | 26 · Professional part | $128.82 | $169.82 | $275.42 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $181.97 Typical High $281.84 | Professional | TC · Technical part | $154.88 | $181.97 | $281.84 |
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 $144.54 Median $239.88 Typical High $512.86 | Professional | None (both parts) | $144.54 | $239.88 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $134.90 Typical High $281.84 | Professional | 26 · Professional part | $79.43 | $134.90 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $107.15 Typical High $223.87 | Professional | TC · Technical part | $63.10 | $107.15 | $223.87 |
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 $93.33 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $93.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $37.15 | $40.74 | $40.74 |
Where Virginia sits
The same service costs 6.5 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· 45th of 51
$174
AK $617AL $95.50
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.