How much rates vary
Facilitymedian $55 · 10th to 90th $25 to $170Professionalmedian $58 · 10th to 90th $37 to $79
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 $54.95 Median $54.95 Typical High $79.43 | Facility | None | $54.95 | $54.95 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $58.88 Typical High $79.43 | Professional | None (both parts) | $54.95 | $58.88 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $33.11 | $33.88 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $23.44 Typical High $35.48 | Professional | TC · Technical part | $22.39 | $23.44 | $35.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $75.86 Typical High $83.18 | Professional | None (both parts) | $60.26 | $75.86 | $83.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $47.86 | Professional | 26 · Professional part | $33.88 | $42.66 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $32.36 Typical High $36.31 | Professional | TC · Technical part | $25.70 | $32.36 | $36.31 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $28.18 Median $57.54 Typical High $63.10 | Professional | None (both parts) | $28.18 | $57.54 | $63.10 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $31.62 | $35.48 | $35.48 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | TC · Technical part | $25.70 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $72.44 | Professional | None (both parts) | $48.98 | $48.98 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $42.66 | Professional | 26 · Professional part | $27.54 | $27.54 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $28.18 | Professional | TC · Technical part | $20.89 | $20.89 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $69.18 Typical High $87.10 | Professional | None | $57.54 | $69.18 | $87.10 |
Medcost Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $114.82 | Professional | None | $60.26 | $75.86 | $114.82 |
Medcost Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $117.49 | Facility | None | $77.62 | $77.62 | $117.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $37.15 Median $50.12 Typical High $57.54 | Professional | None (both parts) | $37.15 | $50.12 | $57.54 |
Sentara Setting Facility Modifier None Typical Low $24.55 Median $52.48 Typical High $169.82 | Facility | None | $24.55 | $52.48 | $169.82 |
Sentara Setting Professional Modifier None (both parts) Typical Low $21.88 Median $42.66 Typical High $69.18 | Professional | None (both parts) | $21.88 | $42.66 | $69.18 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $36.31 Typical High $51.29 | Professional | 26 · Professional part | $26.92 | $36.31 | $51.29 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $26.30 Typical High $36.31 | Professional | TC · Technical part | $18.20 | $26.30 | $36.31 |
United Setting Facility Modifier None Typical Low $112.20 Median $123.03 Typical High $275.42 | Facility | None | $112.20 | $123.03 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $44.67 Typical High $63.10 | Professional | None (both parts) | $40.74 | $44.67 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.30 Typical High $38.02 | Professional | 26 · Professional part | $24.55 | $26.30 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $17.78 Typical High $24.55 | Professional | TC · Technical part | $16.60 | $17.78 | $24.55 |
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 $27.54 Typical High $39.81 | Professional | 52 · Reduced service | $27.54 | $27.54 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $16.22 | Professional | 53 · Discontinued | $10.96 | $10.96 | $16.22 |
Where Virginia sits
The same service costs 3.7 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· 37th of 51
$57.54
AK $170FL $45.71
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.