How much rates vary
Facilitymedian $69 · 10th to 90th $28 to $245Professionalmedian $51 · 10th to 90th $32 to $98
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 $60.26 Median $60.26 Typical High $64.57 | Facility | None | $60.26 | $60.26 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $60.26 Typical High $64.57 | Professional | None (both parts) | $54.95 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | 26 · Professional part | $20.42 | $20.42 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $35.48 | $40.74 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $229.09 Typical High $288.40 | Facility | None | $177.83 | $229.09 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $50.12 | Professional | None (both parts) | $32.36 | $32.36 | $50.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $18.62 | Professional | 26 · Professional part | $11.48 | $11.48 | $18.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $32.36 | Professional | TC · Technical part | $20.42 | $20.42 | $32.36 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $22.91 Median $58.88 Typical High $69.18 | Professional | None (both parts) | $22.91 | $58.88 | $69.18 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $28.84 | Professional | 26 · Professional part | $20.89 | $20.89 | $28.84 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $53.70 | Professional | TC · Technical part | $42.66 | $42.66 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $87.10 Typical High $158.49 | Facility | None | $43.65 | $87.10 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.02 Typical High $112.20 | Professional | None (both parts) | $28.84 | $38.02 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.59 Typical High $38.90 | Professional | 26 · Professional part | $10.72 | $12.59 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $25.70 Typical High $75.86 | Professional | TC · Technical part | $18.20 | $25.70 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $72.44 Typical High $87.10 | Professional | None | $69.18 | $72.44 | $87.10 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $134.90 | Facility | None | $79.43 | $79.43 | $134.90 |
Medcost Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.42 Typical High $85.11 | Professional | None (both parts) | $20.42 | $20.42 | $85.11 |
Sentara Setting Facility Modifier None Typical Low $23.99 Median $58.88 Typical High $194.98 | Facility | None | $23.99 | $58.88 | $194.98 |
Sentara Setting Professional Modifier None (both parts) Typical Low $31.62 Median $69.18 Typical High $128.82 | Professional | None (both parts) | $31.62 | $69.18 | $128.82 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $27.54 Typical High $54.95 | Professional | 26 · Professional part | $23.99 | $27.54 | $54.95 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $50.12 Typical High $107.15 | Professional | TC · Technical part | $44.67 | $50.12 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $75.86 Typical High $151.36 | Professional | None (both parts) | $44.67 | $75.86 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $27.54 Typical High $54.95 | Professional | 26 · Professional part | $14.79 | $27.54 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $46.77 Typical High $95.50 | Professional | TC · Technical part | $28.18 | $46.77 | $95.50 |
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 $27.54 Median $30.20 Typical High $31.62 | Professional | 52 · Reduced service | $27.54 | $30.20 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.02 Typical High $12.88 | Professional | 53 · Discontinued | $10.96 | $12.02 | $12.88 |
Where Virginia sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 42nd of 51
$58.88
AK $182TX $41.69
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.