How much rates vary
Facilitymedian $59 · 10th to 90th $20 to $234Professionalmedian $68 · 10th to 90th $50 to $89
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 $63.10 Median $63.10 Typical High $67.61 | Facility | None | $63.10 | $63.10 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $63.10 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $41.69 | $47.86 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $20.89 | Professional | TC · Technical part | $19.50 | $19.50 | $20.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $69.18 Typical High $85.11 | Professional | None (both parts) | $57.54 | $69.18 | $85.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $58.88 | Professional | 26 · Professional part | $40.74 | $47.86 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $26.92 | Professional | TC · Technical part | $18.62 | $21.88 | $26.92 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $24.55 Median $50.12 Typical High $74.13 | Professional | None (both parts) | $24.55 | $50.12 | $74.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $72.44 | Professional | 26 · Professional part | $51.29 | $58.88 | $72.44 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $28.84 | Professional | TC · Technical part | $22.39 | $22.39 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $154.88 Typical High $323.59 | Facility | None | $151.36 | $154.88 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $70.79 Typical High $114.82 | Professional | None (both parts) | $60.26 | $70.79 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $48.98 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.38 Typical High $34.67 | Professional | TC · Technical part | $18.62 | $21.38 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $87.10 | Professional | None | $58.88 | $70.79 | $87.10 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $39.81 | $46.77 | $58.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.91 Typical High $28.18 | Professional | TC · Technical part | $19.05 | $22.91 | $28.18 |
Medcost Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Medcost Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $74.13 | Professional | None (both parts) | $50.12 | $50.12 | $74.13 |
Sentara Setting Facility Modifier None Typical Low $20.42 Median $54.95 Typical High $204.17 | Facility | None | $20.42 | $54.95 | $204.17 |
Sentara Setting Professional Modifier None (both parts) Typical Low $23.44 Median $74.13 Typical High $120.23 | Professional | None (both parts) | $23.44 | $74.13 | $120.23 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $91.20 | Professional | 26 · Professional part | $45.71 | $60.26 | $91.20 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $38.90 | Professional | TC · Technical part | $19.95 | $24.55 | $38.90 |
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 $51.29 Median $77.62 Typical High $125.89 | Professional | None (both parts) | $51.29 | $77.62 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $91.20 | Professional | 26 · Professional part | $37.15 | $53.70 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $23.44 Typical High $37.15 | Professional | TC · Technical part | $15.14 | $23.44 | $37.15 |
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 $31.62 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $31.62 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $12.59 | $13.49 | $13.49 |
Where Virginia sits
The same service costs 3.9 times more in Alaska 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· 32nd of 51
$67.61
AK $170TX $43.65
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.