How much rates vary
Facilitymedian $123 · 10th to 90th $35 to $490Professionalmedian $151 · 10th to 90th $72 to $214
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 $125.89 Median $125.89 Typical High $190.55 | Facility | None | $125.89 | $125.89 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $117.49 | $125.89 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $45.71 | Professional | 26 · Professional part | $30.20 | $40.74 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $95.50 Typical High $144.54 | Professional | TC · Technical part | $85.11 | $95.50 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $194.98 | Professional | None (both parts) | $128.82 | $158.49 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $32.36 Typical High $41.69 | Professional | 26 · Professional part | $26.92 | $32.36 | $41.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $158.49 | Professional | TC · Technical part | $104.71 | $125.89 | $158.49 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $22.91 Median $123.03 Typical High $141.25 | Professional | None (both parts) | $22.91 | $123.03 | $141.25 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $26.92 | Professional | 26 · Professional part | $20.42 | $20.42 | $26.92 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $125.89 | Professional | TC · Technical part | $102.33 | $112.20 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $128.82 Typical High $257.04 | Professional | None (both parts) | $57.54 | $128.82 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $32.36 Typical High $69.18 | Professional | 26 · Professional part | $15.14 | $32.36 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $107.15 Typical High $186.21 | Professional | TC · Technical part | $40.74 | $107.15 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $158.49 Typical High $194.98 | Professional | None | $131.83 | $158.49 | $194.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $24.55 Typical High $33.11 | Professional | 26 · Professional part | $21.88 | $24.55 | $33.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $165.96 | Professional | TC · Technical part | $109.65 | $131.83 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $181.97 | Professional | None | $128.82 | $158.49 | $181.97 |
Medcost Setting Facility Modifier None Typical Low $60.26 Median $147.91 Typical High $263.03 | Facility | None | $60.26 | $147.91 | $263.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $87.10 | $109.65 | $109.65 |
Sentara Setting Facility Modifier None Typical Low $33.11 Median $117.49 Typical High $489.78 | Facility | None | $33.11 | $117.49 | $489.78 |
Sentara Setting Professional Modifier None (both parts) Typical Low $50.12 Median $134.90 Typical High $281.84 | Professional | None (both parts) | $50.12 | $134.90 | $281.84 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $46.77 Typical High $89.13 | Professional | 26 · Professional part | $10.47 | $46.77 | $89.13 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $251.19 | Professional | TC · Technical part | $87.10 | $123.03 | $251.19 |
United Setting Facility Modifier None Typical Low $251.19 Median $275.42 Typical High $616.60 | Facility | None | $251.19 | $275.42 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $144.54 Typical High $257.04 | Professional | None (both parts) | $52.48 | $144.54 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $54.95 Typical High $93.33 | Professional | 26 · Professional part | $35.48 | $54.95 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $47.86 | $109.65 | $190.55 |
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 $63.10 Median $63.10 Typical High $95.50 | Professional | 52 · Reduced service | $63.10 | $63.10 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $38.02 | Professional | 53 · Discontinued | $25.12 | $25.12 | $38.02 |
Where Virginia sits
The same service costs 5.2 times more in Alaska than in Indiana. 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· 24th of 51
$151
AK $363IN $69.18
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.