How much rates vary
Facilitymedian $48 · 10th to 90th $10 to $195Professionalmedian $50 · 10th to 90th $11 to $66
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 $45.71 Median $45.71 Typical High $70.79 | Facility | None | $45.71 | $45.71 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $51.29 Typical High $70.79 | Professional | None (both parts) | $45.71 | $51.29 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $10.72 | Professional | 26 · Professional part | $7.94 | $8.71 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $43.65 Typical High $60.26 | Professional | TC · Technical part | $38.02 | $43.65 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $57.54 Typical High $64.57 | Professional | None (both parts) | $51.29 | $57.54 | $64.57 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.77 Typical High $10.96 | Professional | 26 · Professional part | $7.76 | $9.77 | $10.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $72.44 | Professional | TC · Technical part | $42.66 | $53.70 | $72.44 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $7.59 Median $50.12 Typical High $56.23 | Professional | None (both parts) | $7.59 | $50.12 | $56.23 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $42.66 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $56.23 | Professional | None (both parts) | $43.65 | $43.65 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $6.92 Typical High $9.77 | Professional | 26 · Professional part | $6.92 | $6.92 | $9.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $46.77 | Professional | TC · Technical part | $36.31 | $36.31 | $46.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $54.95 Median $61.66 Typical High $77.62 | Professional | None | $54.95 | $61.66 | $77.62 |
Medcost Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $54.95 | Professional | None | $53.70 | $53.70 | $54.95 |
Medcost Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $97.72 | Facility | None | $58.88 | $58.88 | $97.72 |
Medcost Setting Professional Modifier None (both parts) Typical Low $30.20 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $30.20 | $44.67 | $44.67 |
Sentara Setting Facility Modifier None Typical Low $9.12 Median $45.71 Typical High $194.98 | Facility | None | $9.12 | $45.71 | $194.98 |
Sentara Setting Professional Modifier None (both parts) Typical Low $8.32 Median $42.66 Typical High $61.66 | Professional | None (both parts) | $8.32 | $42.66 | $61.66 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $13.49 | Professional | 26 · Professional part | $8.13 | $9.33 | $13.49 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $45.71 Typical High $67.61 | Professional | TC · Technical part | $36.31 | $45.71 | $67.61 |
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 $33.88 Median $37.15 Typical High $51.29 | Professional | None (both parts) | $33.88 | $37.15 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $6.46 Typical High $9.33 | Professional | 26 · Professional part | $6.03 | $6.46 | $9.33 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.20 Typical High $41.69 | Professional | TC · Technical part | $28.18 | $30.20 | $41.69 |
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 $22.91 Median $25.12 Typical High $35.48 | Professional | 52 · Reduced service | $22.91 | $25.12 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $10.00 Typical High $14.13 | Professional | 53 · Discontinued | $9.12 | $10.00 | $14.13 |
Where Virginia sits
The same service costs 3.5 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· 29th of 51
$50.12
AK $135NJ $38.90
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.