How much rates vary
Facilitymedian $219 · 10th to 90th $54 to $724Professionalmedian $120 · 10th to 90th $59 to $269
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 $162.18 Median $239.88 Typical High $309.03 | Facility | None | $162.18 | $239.88 | $309.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $66.07 Typical High $109.65 | Facility | 26 · Professional part | $34.67 | $66.07 | $109.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $144.54 Typical High $309.03 | Facility | TC · Technical part | $128.82 | $144.54 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $354.81 | Professional | None (both parts) | $151.36 | $162.18 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $100.00 | Professional | 26 · Professional part | $34.67 | $38.90 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $128.82 Typical High $288.40 | Professional | TC · Technical part | $112.20 | $128.82 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $724.44 Typical High $912.01 | Facility | None | $575.44 | $724.44 | $912.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $120.23 | Professional | None (both parts) | $74.13 | $74.13 | $120.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $34.67 | Professional | 26 · Professional part | $22.39 | $22.39 | $34.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $91.20 | Professional | TC · Technical part | $54.95 | $54.95 | $91.20 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $35.48 Median $158.49 Typical High $177.83 | Professional | None (both parts) | $35.48 | $158.49 | $177.83 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $138.04 Typical High $144.54 | Professional | TC · Technical part | $123.03 | $138.04 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $263.03 Typical High $416.87 | Facility | None | $134.90 | $263.03 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $95.50 Typical High $275.42 | Professional | None (both parts) | $63.10 | $95.50 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $28.84 Typical High $75.86 | Professional | 26 · Professional part | $19.50 | $28.84 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $69.18 Typical High $204.17 | Professional | TC · Technical part | $33.88 | $69.18 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $245.47 | Professional | None | $165.96 | $213.80 | $245.47 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $316.23 | Facility | None | $218.78 | $218.78 | $316.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $186.21 | Professional | None (both parts) | $58.88 | $58.88 | $186.21 |
Sentara Setting Facility Modifier None Typical Low $50.12 Median $162.18 Typical High $616.60 | Facility | None | $50.12 | $162.18 | $616.60 |
Sentara Setting Professional Modifier None (both parts) Typical Low $54.95 Median $194.98 Typical High $436.52 | Professional | None (both parts) | $54.95 | $194.98 | $436.52 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $53.70 | $64.57 | $100.00 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $173.78 Typical High $426.58 | Professional | TC · Technical part | $95.50 | $173.78 | $426.58 |
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 $91.20 Median $173.78 Typical High $281.84 | Professional | None (both parts) | $91.20 | $173.78 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $45.71 Typical High $95.50 | Professional | 26 · Professional part | $29.51 | $45.71 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $120.23 Typical High $194.98 | Professional | TC · Technical part | $54.95 | $120.23 | $194.98 |
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 $72.44 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $72.44 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $28.84 | $32.36 | $32.36 |
Where Virginia sits
The same service costs 4.9 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· 38th of 51
$151
AK $468AL $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.