How much rates vary
Facilitymedian $200 · 10th to 90th $54 to $692Professionalmedian $219 · 10th to 90th $174 to $347
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 $177.83 Median $177.83 Typical High $251.19 | Facility | None | $177.83 | $177.83 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $190.55 Typical High $251.19 | Professional | None (both parts) | $177.83 | $190.55 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $40.74 | $46.77 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $147.91 Typical High $194.98 | Professional | TC · Technical part | $134.90 | $147.91 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $269.15 | Professional | None (both parts) | $177.83 | $208.93 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $42.66 | $51.29 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $158.49 Typical High $204.17 | Professional | TC · Technical part | $131.83 | $158.49 | $204.17 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $173.78 Median $199.53 Typical High $257.04 | Professional | None (both parts) | $173.78 | $199.53 | $257.04 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $60.26 | Professional | 26 · Professional part | $45.71 | $51.29 | $60.26 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $158.49 | $158.49 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $257.04 Typical High $389.05 | Professional | None (both parts) | $199.53 | $257.04 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $61.66 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $194.98 Typical High $302.00 | Professional | TC · Technical part | $158.49 | $194.98 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $288.40 Typical High $354.81 | Professional | None | $239.88 | $288.40 | $354.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $45.71 | $51.29 | $66.07 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $234.42 Typical High $295.12 | Professional | TC · Technical part | $194.98 | $234.42 | $295.12 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $354.81 Typical High $426.58 | Professional | None | $288.40 | $354.81 | $426.58 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $70.79 | $89.13 | $89.13 |
Medcost Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $371.54 | Facility | None | $302.00 | $302.00 | $371.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $194.98 | Professional | None (both parts) | $125.89 | $144.54 | $194.98 |
Sentara Setting Facility Modifier None Typical Low $52.48 Median $199.53 Typical High $691.83 | Facility | None | $52.48 | $199.53 | $691.83 |
Sentara Setting Professional Modifier None (both parts) Typical Low $70.79 Median $234.42 Typical High $398.11 | Professional | None (both parts) | $70.79 | $234.42 | $398.11 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $70.79 | $109.65 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $158.49 | $223.87 | $346.74 |
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 $165.96 Median $263.03 Typical High $457.09 | Professional | None (both parts) | $165.96 | $263.03 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $58.88 Typical High $100.00 | Professional | 26 · Professional part | $38.90 | $58.88 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $204.17 Typical High $346.74 | Professional | TC · Technical part | $125.89 | $204.17 | $346.74 |
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 $89.13 Median $93.33 Typical High $125.89 | Professional | 52 · Reduced service | $89.13 | $93.33 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $37.15 Typical High $50.12 | Professional | 53 · Discontinued | $35.48 | $37.15 | $50.12 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $213.80 Median $269.15 Typical High $346.74 | Professional | 27 · Multiple hospital visits | $213.80 | $269.15 | $346.74 |
Where Virginia sits
The same service costs 3.0 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
$219
AK $513FL $174
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.