How much rates vary
Facilitymedian $20 · 10th to 90th $4 to $123Professionalmedian $17 · 10th to 90th $11 to $23
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 $16.22 Median $16.22 Typical High $17.38 | Facility | None | $16.22 | $16.22 | $17.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $17.38 Typical High $17.38 | Professional | None (both parts) | $16.22 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $12.30 | $14.13 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.95 Median $3.24 Typical High $3.80 | Professional | TC · Technical part | $2.95 | $3.24 | $3.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $15.49 Median $18.62 Typical High $21.88 | Professional | None (both parts) | $15.49 | $18.62 | $21.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.79 Typical High $16.98 | Professional | 26 · Professional part | $12.30 | $14.79 | $16.98 |
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 $13.49 Median $17.38 Typical High $19.50 | Professional | None (both parts) | $13.49 | $17.38 | $19.50 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $4.47 Typical High $4.47 | Professional | TC · Technical part | $3.98 | $4.47 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $43.65 Typical High $371.54 | Facility | None | $38.02 | $43.65 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.88 Median $12.88 Typical High $28.18 | Professional | None (both parts) | $12.88 | $12.88 | $28.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $15.49 | Professional | 26 · Professional part | $11.48 | $11.48 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1.38 Median $1.38 Typical High $8.71 | Professional | TC · Technical part | $1.38 | $1.38 | $8.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $21.88 | Professional | None | $14.45 | $17.38 | $21.88 |
Medcost Setting Professional Modifier None Typical Low $31.62 Median $53.70 Typical High $54.95 | Professional | None | $31.62 | $53.70 | $54.95 |
Medcost Setting Facility Modifier None Typical Low $29.51 Median $63.10 Typical High $63.10 | Facility | None | $29.51 | $63.10 | $63.10 |
Medcost Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $39.81 | Professional | None (both parts) | $34.67 | $34.67 | $39.81 |
Sentara Setting Facility Modifier None Typical Low $4.37 Median $19.50 Typical High $89.13 | Facility | None | $4.37 | $19.50 | $89.13 |
Sentara Setting Professional Modifier None (both parts) Typical Low $8.32 Median $15.85 Typical High $38.90 | Professional | None (both parts) | $8.32 | $15.85 | $38.90 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.88 Typical High $18.62 | Professional | 26 · Professional part | $9.55 | $12.88 | $18.62 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $1.95 Median $4.68 Typical High $28.84 | Professional | TC · Technical part | $1.95 | $4.68 | $28.84 |
United Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $1,000.00 | Facility | None | $407.38 | $446.68 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $10.72 Median $11.48 Typical High $37.15 | Professional | None (both parts) | $10.72 | $11.48 | $37.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.33 Typical High $13.49 | Professional | 26 · Professional part | $8.71 | $9.33 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $2.04 Median $2.24 Typical High $26.92 | Professional | TC · Technical part | $2.04 | $2.24 | $26.92 |
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 $8.13 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $8.13 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $3.24 | $3.47 | $3.47 |
Where Virginia sits
The same service costs 2.6 times more in California than in New York. 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· 39th of 51
$16.60
CA $38.02NY $14.45
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.