How much rates vary
Facilitymedian $148 · 10th to 90th $56 to $1,318Professionalmedian $102 · 10th to 90th $60 to $214
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 $104.71 Median $194.98 Typical High $288.40 | Facility | None | $104.71 | $194.98 | $288.40 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $66.07 Typical High $109.65 | Facility | 26 · Professional part | $35.48 | $66.07 | $109.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $147.91 Typical High $199.53 | Facility | TC · Technical part | $69.18 | $147.91 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $104.71 Typical High $128.82 | Professional | None (both parts) | $95.50 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $47.86 | Professional | 26 · Professional part | $33.11 | $35.48 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $69.18 Typical High $81.28 | Professional | TC · Technical part | $61.66 | $69.18 | $81.28 |
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 $60.26 Median $60.26 Typical High $102.33 | Professional | None (both parts) | $60.26 | $60.26 | $102.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $37.15 | Professional | 26 · Professional part | $22.39 | $22.39 | $37.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $69.18 | Professional | TC · Technical part | $39.81 | $39.81 | $69.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $39.81 Median $100.00 Typical High $123.03 | Professional | None (both parts) | $39.81 | $100.00 | $123.03 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $46.77 | Professional | 26 · Professional part | $35.48 | $35.48 | $46.77 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $87.10 | Professional | TC · Technical part | $69.18 | $69.18 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $181.97 Typical High $275.42 | Facility | None | $77.62 | $181.97 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $77.62 Typical High $223.87 | Professional | None (both parts) | $52.48 | $77.62 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $30.20 Typical High $112.20 | Professional | 26 · Professional part | $18.62 | $30.20 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $47.86 Typical High $138.04 | Professional | TC · Technical part | $33.88 | $47.86 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $131.83 Typical High $165.96 | Professional | None | $125.89 | $131.83 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $239.88 | Facility | None | $213.80 | $213.80 | $239.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $213.80 | Professional | None (both parts) | $112.20 | $112.20 | $213.80 |
Sentara Setting Facility Modifier None Typical Low $51.29 Median $114.82 Typical High $371.54 | Facility | None | $51.29 | $114.82 | $371.54 |
Sentara Setting Professional Modifier None (both parts) Typical Low $74.13 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $74.13 | $173.78 | $234.42 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $93.33 | Professional | 26 · Professional part | $57.54 | $66.07 | $93.33 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $123.03 Typical High $190.55 | Professional | TC · Technical part | $107.15 | $123.03 | $190.55 |
United Setting Facility Modifier None Typical Low $676.08 Median $741.31 Typical High $1,659.59 | Facility | None | $676.08 | $741.31 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $138.04 Typical High $281.84 | Professional | None (both parts) | $83.18 | $138.04 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $46.77 Typical High $100.00 | Professional | 26 · Professional part | $30.20 | $46.77 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $89.13 Typical High $181.97 | Professional | TC · Technical part | $51.29 | $89.13 | $181.97 |
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 $52.48 Typical High $56.23 | Professional | 52 · Reduced service | $46.77 | $52.48 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $20.89 Typical High $22.39 | Professional | 53 · Discontinued | $19.05 | $20.89 | $22.39 |
Where Virginia sits
The same service costs 4.5 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· 41st of 51
$107
AK $316AL $70.79
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.