How much rates vary
Facilitymedian $22 · 10th to 90th $5 to $123Professionalmedian $18 · 10th to 90th $11 to $25
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 $16.98 Median $16.98 Typical High $18.20 | Facility | None | $16.98 | $16.98 | $18.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $18.20 Typical High $18.20 | Professional | None (both parts) | $16.98 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $13.18 | $15.49 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.95 Median $3.39 Typical High $3.80 | Professional | TC · Technical part | $2.95 | $3.39 | $3.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $16.60 Median $19.50 Typical High $23.44 | Professional | None (both parts) | $16.60 | $19.50 | $23.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.60 Typical High $20.89 | Professional | 26 · Professional part | $13.18 | $16.60 | $20.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $3.89 Typical High $4.79 | Professional | TC · Technical part | $3.24 | $3.89 | $4.79 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $4.47 Median $16.60 Typical High $20.42 | Professional | None (both parts) | $4.47 | $16.60 | $20.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $14.45 | $14.45 | $14.45 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | TC · Technical part | $3.98 | $3.98 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $45.71 Typical High $186.21 | Facility | None | $39.81 | $45.71 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $13.80 Median $13.80 Typical High $30.90 | Professional | None (both parts) | $13.80 | $13.80 | $30.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $16.98 | Professional | 26 · Professional part | $12.59 | $12.59 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1.38 Median $1.38 Typical High $8.91 | Professional | TC · Technical part | $1.38 | $1.38 | $8.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.49 Median $18.62 Typical High $23.44 | Professional | None | $15.49 | $18.62 | $23.44 |
Medcost Setting Professional Modifier None Typical Low $33.11 Median $58.88 Typical High $58.88 | Professional | None | $33.11 | $58.88 | $58.88 |
Medcost Setting Facility Modifier None Typical Low $31.62 Median $67.61 Typical High $67.61 | Facility | None | $31.62 | $67.61 | $67.61 |
Medcost Setting Professional Modifier None (both parts) Typical Low $26.30 Median $34.67 Typical High $42.66 | Professional | None (both parts) | $26.30 | $34.67 | $42.66 |
Sentara Setting Facility Modifier None Typical Low $4.37 Median $21.38 Typical High $91.20 | Facility | None | $4.37 | $21.38 | $91.20 |
Sentara Setting Professional Modifier None (both parts) Typical Low $9.77 Median $16.98 Typical High $42.66 | Professional | None (both parts) | $9.77 | $16.98 | $42.66 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.13 Typical High $20.42 | Professional | 26 · Professional part | $10.23 | $14.13 | $20.42 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $1.95 Median $4.79 Typical High $30.20 | Professional | TC · Technical part | $1.95 | $4.79 | $30.20 |
United Setting Facility Modifier None Typical Low $245.47 Median $269.15 Typical High $602.56 | Facility | None | $245.47 | $269.15 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $11.48 Median $12.30 Typical High $40.74 | Professional | None (both parts) | $11.48 | $12.30 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.23 Typical High $14.79 | Professional | 26 · Professional part | $9.33 | $10.23 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $2.04 Median $2.24 Typical High $28.18 | Professional | TC · Technical part | $2.04 | $2.24 | $28.18 |
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 $8.51 Median $9.12 Typical High $9.12 | Professional | 52 · Reduced service | $8.51 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $3.39 | $3.63 | $3.63 |
Where Virginia sits
The same service costs 2.5 times more in California than in Texas. 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· 40th of 51
$17.78
CA $40.74TX $16.22
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.