How much rates vary
Facilitymedian $148 · 10th to 90th $66 to $417Professionalmedian $107 · 10th to 90th $69 to $229
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 $107.15 Median $107.15 Typical High $114.82 | Facility | None | $107.15 | $107.15 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $114.82 | Professional | None (both parts) | $97.72 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $48.98 | Professional | 26 · Professional part | $42.66 | $42.66 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $57.54 | $66.07 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $389.05 Typical High $489.78 | Facility | None | $302.00 | $389.05 | $489.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $112.20 | Professional | None (both parts) | $72.44 | $72.44 | $112.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $29.51 | $29.51 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $66.07 | Professional | TC · Technical part | $43.65 | $43.65 | $66.07 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $69.18 Median $114.82 Typical High $147.91 | Professional | None (both parts) | $69.18 | $114.82 | $147.91 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $54.95 | Professional | 26 · Professional part | $43.65 | $48.98 | $54.95 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $97.72 | Professional | TC · Technical part | $77.62 | $77.62 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $173.78 Typical High $302.00 | Facility | None | $74.13 | $173.78 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $79.43 Typical High $239.88 | Professional | None (both parts) | $53.70 | $79.43 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $32.36 Typical High $100.00 | Professional | 26 · Professional part | $22.39 | $32.36 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $46.77 Typical High $141.25 | Professional | TC · Technical part | $31.62 | $46.77 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $134.90 Typical High $165.96 | Professional | None | $125.89 | $134.90 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $239.88 Median $275.42 Typical High $275.42 | Facility | None | $239.88 | $275.42 | $275.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $245.47 | Professional | None (both parts) | $107.15 | $107.15 | $245.47 |
Sentara Setting Facility Modifier None Typical Low $60.26 Median $120.23 Typical High $363.08 | Facility | None | $60.26 | $120.23 | $363.08 |
Sentara Setting Professional Modifier None (both parts) Typical Low $93.33 Median $218.78 Typical High $302.00 | Professional | None (both parts) | $93.33 | $218.78 | $302.00 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $128.82 | Professional | 26 · Professional part | $79.43 | $93.33 | $128.82 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $229.09 | Professional | TC · Technical part | $109.65 | $131.83 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $141.25 Typical High $295.12 | Professional | None (both parts) | $83.18 | $141.25 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $58.88 Typical High $123.03 | Professional | 26 · Professional part | $34.67 | $58.88 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $85.11 Typical High $165.96 | Professional | TC · Technical part | $48.98 | $85.11 | $165.96 |
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 $48.98 Median $53.70 Typical High $57.54 | Professional | 52 · Reduced service | $48.98 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.88 Typical High $22.91 | Professional | 53 · Discontinued | $19.50 | $21.88 | $22.91 |
Where Virginia sits
The same service costs 5.8 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· 40th of 51
$112
AK $339AL $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.