How much rates vary
Facilitymedian $78 · 10th to 90th $41 to $224Professionalmedian $79 · 10th to 90th $44 to $112
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 $75.86 Median $75.86 Typical High $112.20 | Facility | None | $75.86 | $75.86 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $112.20 | Professional | None (both parts) | $75.86 | $75.86 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $54.95 | Professional | 26 · Professional part | $40.74 | $40.74 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $56.23 | Professional | TC · Technical part | $34.67 | $34.67 | $56.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $114.82 | Professional | None (both parts) | $81.28 | $102.33 | $114.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $52.48 Typical High $58.88 | Professional | 26 · Professional part | $41.69 | $52.48 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $50.12 Typical High $56.23 | Professional | TC · Technical part | $39.81 | $50.12 | $56.23 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $43.65 Median $79.43 Typical High $87.10 | Professional | None (both parts) | $43.65 | $79.43 | $87.10 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $38.90 | $43.65 | $43.65 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | TC · Technical part | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $97.72 | Professional | None (both parts) | $64.57 | $64.57 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $52.48 | Professional | 26 · Professional part | $33.88 | $33.88 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $50.12 | Professional | TC · Technical part | $30.90 | $30.90 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $95.50 Typical High $120.23 | Professional | None | $77.62 | $95.50 | $120.23 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $120.23 Typical High $162.18 | Professional | None | $97.72 | $120.23 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $158.49 | Facility | None | $100.00 | $100.00 | $158.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $75.86 | Professional | None (both parts) | $52.48 | $52.48 | $75.86 |
Sentara Setting Facility Modifier None Typical Low $39.81 Median $74.13 Typical High $223.87 | Facility | None | $39.81 | $74.13 | $223.87 |
Sentara Setting Professional Modifier None (both parts) Typical Low $32.36 Median $61.66 Typical High $97.72 | Professional | None (both parts) | $32.36 | $61.66 | $97.72 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $45.71 Typical High $61.66 | Professional | 26 · Professional part | $33.11 | $45.71 | $61.66 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $39.81 Typical High $57.54 | Professional | TC · Technical part | $28.84 | $39.81 | $57.54 |
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 $56.23 Median $60.26 Typical High $91.20 | Professional | None (both parts) | $56.23 | $60.26 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $45.71 | Professional | 26 · Professional part | $30.20 | $33.11 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $27.54 Typical High $46.77 | Professional | TC · Technical part | $25.70 | $27.54 | $46.77 |
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 $38.02 Median $38.02 Typical High $54.95 | Professional | 52 · Reduced service | $38.02 | $38.02 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $22.39 | Professional | 53 · Discontinued | $15.14 | $15.14 | $22.39 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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· 38th of 51
$79.43
AK $229NJ $61.66
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.