How much rates vary
Facilitymedian $33 · 10th to 90th $14 to $105Professionalmedian $35 · 10th to 90th $23 to $55
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 $30.20 Median $40.74 Typical High $56.23 | Facility | None | $30.20 | $40.74 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $40.74 Typical High $54.95 | Professional | None (both parts) | $30.20 | $40.74 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $15.14 Typical High $18.62 | Professional | 26 · Professional part | $9.77 | $15.14 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.30 Typical High $34.67 | Professional | TC · Technical part | $19.50 | $26.30 | $34.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $27.54 Median $34.67 Typical High $44.67 | Professional | None (both parts) | $27.54 | $34.67 | $44.67 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $15.14 | Professional | 26 · Professional part | $9.77 | $11.48 | $15.14 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $32.36 | Professional | TC · Technical part | $19.05 | $23.44 | $32.36 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $10.96 Median $30.20 Typical High $33.88 | Professional | None (both parts) | $10.96 | $30.20 | $33.88 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $13.18 | Professional | 26 · Professional part | $10.00 | $10.00 | $13.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $25.12 | Professional | TC · Technical part | $22.91 | $22.91 | $25.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.90 Typical High $61.66 | Professional | None (both parts) | $29.51 | $38.90 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.79 Typical High $23.44 | Professional | 26 · Professional part | $10.23 | $14.79 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $39.81 | Professional | TC · Technical part | $19.50 | $23.99 | $39.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $48.98 | Professional | None | $33.11 | $38.90 | $48.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.02 Typical High $15.14 | Professional | 26 · Professional part | $10.96 | $12.02 | $15.14 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.92 Typical High $33.11 | Professional | TC · Technical part | $22.39 | $26.92 | $33.11 |
Medcost Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Medcost Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $70.79 | Facility | None | $47.86 | $47.86 | $70.79 |
Medcost Setting Professional Modifier None (both parts) Typical Low $15.85 Median $23.44 Typical High $40.74 | Professional | None (both parts) | $15.85 | $23.44 | $40.74 |
Sentara Setting Facility Modifier None Typical Low $14.45 Median $31.62 Typical High $102.33 | Facility | None | $14.45 | $31.62 | $102.33 |
Sentara Setting Professional Modifier None (both parts) Typical Low $16.98 Median $40.74 Typical High $69.18 | Professional | None (both parts) | $16.98 | $40.74 | $69.18 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.98 Typical High $25.70 | Professional | 26 · Professional part | $12.02 | $16.98 | $25.70 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $27.54 Typical High $47.86 | Professional | TC · Technical part | $21.38 | $27.54 | $47.86 |
United Setting Facility Modifier None Typical Low $245.47 Median $269.15 Typical High $602.56 | Facility | None | $245.47 | $269.15 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $44.67 Typical High $72.44 | Professional | None (both parts) | $30.20 | $44.67 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $17.38 Typical High $27.54 | Professional | 26 · Professional part | $11.22 | $17.38 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $26.92 Typical High $44.67 | Professional | TC · Technical part | $18.20 | $26.92 | $44.67 |
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 $14.45 Median $16.60 Typical High $20.42 | Professional | 52 · Reduced service | $14.45 | $16.60 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.76 Typical High $8.32 | Professional | 53 · Discontinued | $5.75 | $6.76 | $8.32 |
Where Virginia sits
The same service costs 2.7 times more in Alaska than in Florida. 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
$34.67
AK $83.18FL $30.90
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.