How much rates vary
Facilitymedian $48 · 10th to 90th $23 to $275Professionalmedian $45 · 10th to 90th $31 to $62
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 $40.74 Median $40.74 Typical High $60.26 | Facility | None | $40.74 | $40.74 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $43.65 Typical High $60.26 | Professional | None (both parts) | $40.74 | $43.65 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.50 Typical High $25.12 | Professional | 26 · Professional part | $18.62 | $19.50 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $23.99 Typical High $34.67 | Professional | TC · Technical part | $22.39 | $23.99 | $34.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $54.95 Typical High $61.66 | Professional | None (both parts) | $43.65 | $54.95 | $61.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.99 Typical High $26.92 | Professional | 26 · Professional part | $19.05 | $23.99 | $26.92 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $31.62 Typical High $35.48 | Professional | TC · Technical part | $25.12 | $31.62 | $35.48 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $42.66 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $42.66 | $46.77 | $46.77 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.50 Typical High $19.50 | Professional | 26 · Professional part | $17.78 | $19.50 | $19.50 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $27.54 Typical High $27.54 | Professional | TC · Technical part | $24.55 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $63.10 | Professional | None (both parts) | $36.31 | $36.31 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $25.12 | Professional | 26 · Professional part | $15.49 | $15.49 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $42.66 | Professional | TC · Technical part | $20.42 | $20.42 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $51.29 Typical High $64.57 | Professional | None | $41.69 | $51.29 | $64.57 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $85.11 Typical High $87.10 | Professional | None | $67.61 | $85.11 | $87.10 |
Medcost Setting Facility Modifier None Typical Low $87.10 Median $89.13 Typical High $89.13 | Facility | None | $87.10 | $89.13 | $89.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $41.69 Median $54.95 Typical High $69.18 | Professional | None (both parts) | $41.69 | $54.95 | $69.18 |
Sentara Setting Facility Modifier None Typical Low $23.44 Median $44.67 Typical High $389.05 | Facility | None | $23.44 | $44.67 | $389.05 |
Sentara Setting Professional Modifier None (both parts) Typical Low $18.62 Median $42.66 Typical High $72.44 | Professional | None (both parts) | $18.62 | $42.66 | $72.44 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.88 Typical High $30.90 | Professional | 26 · Professional part | $15.14 | $21.88 | $30.90 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $32.36 Typical High $53.70 | Professional | TC · Technical part | $18.20 | $32.36 | $53.70 |
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 $30.90 Median $33.11 Typical High $61.66 | Professional | None (both parts) | $30.90 | $33.11 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.14 Typical High $22.91 | Professional | 26 · Professional part | $14.13 | $15.14 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $17.78 Typical High $37.15 | Professional | TC · Technical part | $16.60 | $17.78 | $37.15 |
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 $20.42 Median $20.42 Typical High $30.20 | Professional | 52 · Reduced service | $20.42 | $20.42 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $12.02 | Professional | 53 · Discontinued | $8.13 | $8.13 | $12.02 |
Where Virginia sits
The same service costs 3.4 times more in Alaska than in Utah. 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
$44.67
AK $123UT $36.31
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.