How much rates vary
Facilitymedian $23 · 10th to 90th $13 to $295Professionalmedian $44 · 10th to 90th $26 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 $52.48 Median $52.48 Typical High $61.66 | Facility | None | $52.48 | $52.48 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | None (both parts) | $52.48 | $52.48 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $12.02 | Professional | 26 · Professional part | $10.96 | $10.96 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $46.77 | Professional | TC · Technical part | $41.69 | $41.69 | $46.77 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $43.65 Typical High $48.98 | Professional | None (both parts) | $34.67 | $43.65 | $48.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.22 Typical High $12.02 | Professional | 26 · Professional part | $9.55 | $11.22 | $12.02 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $42.66 Typical High $46.77 | Professional | TC · Technical part | $37.15 | $42.66 | $46.77 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $28.18 Median $31.62 Typical High $31.62 | Professional | None (both parts) | $28.18 | $31.62 | $31.62 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.59 Typical High $12.59 | Professional | 26 · Professional part | $11.22 | $12.59 | $12.59 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.05 Typical High $19.05 | Professional | TC · Technical part | $16.98 | $19.05 | $19.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $47.86 Typical High $63.10 | Professional | None (both parts) | $25.70 | $47.86 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $13.49 | Professional | 26 · Professional part | $9.12 | $9.12 | $13.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $38.90 Typical High $52.48 | Professional | TC · Technical part | $16.60 | $38.90 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $35.48 Typical High $45.71 | Professional | None | $32.36 | $35.48 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $138.04 | Professional | None | $134.90 | $134.90 | $138.04 |
Medcost Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $112.20 | Facility | None | $77.62 | $77.62 | $112.20 |
Medcost Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $57.54 | $57.54 | $57.54 |
Sentara Setting Facility Modifier None Typical Low $13.18 Median $21.88 Typical High $85.11 | Facility | None | $13.18 | $21.88 | $85.11 |
Sentara Setting Professional Modifier None (both parts) Typical Low $14.13 Median $19.95 Typical High $35.48 | Professional | None (both parts) | $14.13 | $19.95 | $35.48 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.49 Typical High $19.50 | Professional | 26 · Professional part | $12.59 | $15.49 | $19.50 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.88 Typical High $26.92 | Professional | TC · Technical part | $17.38 | $21.88 | $26.92 |
United Setting Facility Modifier None Typical Low $851.14 Median $933.25 Typical High $2,089.30 | Facility | None | $851.14 | $933.25 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $41.69 Typical High $79.43 | Professional | None (both parts) | $38.02 | $41.69 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.91 Typical High $12.88 | Professional | 26 · Professional part | $8.32 | $8.91 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $32.36 Typical High $64.57 | Professional | TC · Technical part | $30.20 | $32.36 | $64.57 |
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 $26.30 Median $26.30 Typical High $30.90 | Professional | 52 · Reduced service | $26.30 | $26.30 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $12.30 | Professional | 53 · Discontinued | $10.47 | $10.47 | $12.30 |
Where Virginia sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 45th of 51
$43.65
AK $110OH $33.11
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.