How much rates vary
Facilitymedian $115 · 10th to 90th $35 to $427Professionalmedian $87 · 10th to 90th $45 to $158
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 $95.50 Median $109.65 Typical High $109.65 | Facility | None | $95.50 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $109.65 Typical High $114.82 | Professional | None (both parts) | $95.50 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.92 Typical High $34.67 | Professional | 26 · Professional part | $25.12 | $26.92 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $66.07 | $83.18 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $524.81 | Facility | None | $331.13 | $416.87 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $70.79 | Professional | None (both parts) | $44.67 | $44.67 | $70.79 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $21.38 | Professional | 26 · Professional part | $13.49 | $13.49 | $21.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $48.98 | Professional | TC · Technical part | $30.90 | $30.90 | $48.98 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $134.90 | Professional | None (both parts) | $91.20 | $120.23 | $134.90 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $37.15 | Professional | 26 · Professional part | $28.18 | $31.62 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $165.96 Typical High $275.42 | Facility | None | $95.50 | $165.96 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $66.07 Typical High $181.97 | Professional | None (both parts) | $40.74 | $66.07 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.60 Typical High $50.12 | Professional | 26 · Professional part | $12.88 | $16.60 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $51.29 Typical High $128.82 | Professional | TC · Technical part | $27.54 | $51.29 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $177.83 | Professional | None | $141.25 | $147.91 | $177.83 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $199.53 | Facility | None | $97.72 | $97.72 | $199.53 |
Medcost Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $102.33 | Professional | None (both parts) | $24.55 | $24.55 | $102.33 |
Sentara Setting Facility Modifier None Typical Low $28.84 Median $89.13 Typical High $302.00 | Facility | None | $28.84 | $89.13 | $302.00 |
Sentara Setting Professional Modifier None (both parts) Typical Low $37.15 Median $85.11 Typical High $213.80 | Professional | None (both parts) | $37.15 | $85.11 | $213.80 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $69.18 | Professional | 26 · Professional part | $28.84 | $32.36 | $69.18 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $63.10 Typical High $194.98 | Professional | TC · Technical part | $54.95 | $63.10 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $56.23 | $114.82 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $33.88 Typical High $67.61 | Professional | 26 · Professional part | $17.38 | $33.88 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $77.62 Typical High $158.49 | Professional | TC · Technical part | $38.90 | $77.62 | $158.49 |
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 $47.86 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $47.86 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $19.05 | $21.88 | $21.88 |
Where Virginia sits
The same service costs 4.6 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
$91.20
AK $269AL $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.