How much rates vary
Facilitymedian $110 · 10th to 90th $45 to $447Professionalmedian $162 · 10th to 90th $81 to $219
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 $77.62 Median $77.62 Typical High $177.83 | Facility | None | $77.62 | $77.62 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $77.62 | $147.91 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $77.62 | Professional | 26 · Professional part | $37.15 | $47.86 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $97.72 Typical High $158.49 | Professional | TC · Technical part | $40.74 | $97.72 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $181.97 Typical High $223.87 | Professional | None (both parts) | $147.91 | $181.97 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $38.02 | $46.77 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $169.82 | Professional | TC · Technical part | $109.65 | $134.90 | $169.82 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $36.31 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $36.31 | $107.15 | $162.18 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $47.86 Typical High $61.66 | Professional | 26 · Professional part | $30.90 | $47.86 | $61.66 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $158.49 | Professional | TC · Technical part | $120.23 | $120.23 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $239.88 | Professional | None (both parts) | $112.20 | $154.88 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $48.98 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $48.98 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $112.20 Typical High $158.49 | Professional | TC · Technical part | $66.07 | $112.20 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $186.21 Typical High $234.42 | Professional | None | $158.49 | $186.21 | $234.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $58.88 | Professional | 26 · Professional part | $41.69 | $45.71 | $58.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $177.83 | Professional | TC · Technical part | $117.49 | $141.25 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $199.53 | Professional | None | $141.25 | $173.78 | $199.53 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $52.48 | $64.57 | $64.57 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $218.78 | Professional | None (both parts) | $104.71 | $123.03 | $218.78 |
Sentara Setting Facility Modifier None Typical Low $44.67 Median $107.15 Typical High $446.68 | Facility | None | $44.67 | $107.15 | $446.68 |
Sentara Setting Professional Modifier None (both parts) Typical Low $53.70 Median $125.89 Typical High $251.19 | Professional | None (both parts) | $53.70 | $125.89 | $251.19 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $57.54 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $57.54 | $95.50 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $112.20 Typical High $190.55 | Professional | TC · Technical part | $75.86 | $112.20 | $190.55 |
United Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $1,000.00 | Facility | None | $407.38 | $446.68 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $89.13 | $138.04 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $33.88 | $50.12 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $81.28 Typical High $134.90 | Professional | TC · Technical part | $53.70 | $81.28 | $134.90 |
3 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 $38.90 Median $57.54 Typical High $89.13 | Professional | 52 · Reduced service | $38.90 | $57.54 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $22.91 Typical High $35.48 | Professional | 53 · Discontinued | $15.85 | $22.91 | $35.48 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $89.13 Median $109.65 Typical High $138.04 | Professional | 27 · Multiple hospital visits | $89.13 | $109.65 | $138.04 |
Where Virginia sits
The same service costs 3.2 times more in Alaska than in New York. 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· 22nd of 51
$162
AK $347NY $107
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.