How much rates vary
Facilitymedian $107 · 10th to 90th $49 to $562Professionalmedian $120 · 10th to 90th $78 to $166
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 $107.15 Median $107.15 Typical High $123.03 | Facility | None | $107.15 | $107.15 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $107.15 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $50.12 | $64.57 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $57.54 | $58.88 | $58.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $151.36 | Professional | None (both parts) | $91.20 | $120.23 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $75.86 | Professional | 26 · Professional part | $50.12 | $60.26 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $85.11 | Professional | TC · Technical part | $53.70 | $64.57 | $85.11 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $89.13 Median $123.03 Typical High $147.91 | Professional | None (both parts) | $89.13 | $123.03 | $147.91 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $53.70 | $60.26 | $60.26 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $64.57 | $72.44 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $436.52 Typical High $660.69 | Facility | None | $134.90 | $436.52 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $109.65 | $125.89 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $60.26 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $67.61 Typical High $97.72 | Professional | TC · Technical part | $56.23 | $67.61 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $181.97 | Professional | None | $109.65 | $128.82 | $181.97 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $89.13 | Professional | 26 · Professional part | $48.98 | $57.54 | $89.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $97.72 | Professional | TC · Technical part | $60.26 | $72.44 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $162.18 | Professional | None | $120.23 | $151.36 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $199.53 | Facility | None | $173.78 | $173.78 | $199.53 |
Medcost Setting Professional Modifier None (both parts) Typical Low $165.96 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $165.96 | $169.82 | $169.82 |
Sentara Setting Facility Modifier None Typical Low $43.65 Median $97.72 Typical High $281.84 | Facility | None | $43.65 | $97.72 | $281.84 |
Sentara Setting Professional Modifier None (both parts) Typical Low $52.48 Median $107.15 Typical High $165.96 | Professional | None (both parts) | $52.48 | $107.15 | $165.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $67.61 Typical High $95.50 | Professional | 26 · Professional part | $40.74 | $67.61 | $95.50 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $58.88 Typical High $93.33 | Professional | TC · Technical part | $37.15 | $58.88 | $93.33 |
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 $89.13 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $89.13 | $120.23 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $63.10 Typical High $102.33 | Professional | 26 · Professional part | $46.77 | $63.10 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $57.54 Typical High $95.50 | Professional | TC · Technical part | $41.69 | $57.54 | $95.50 |
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 $53.70 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $53.70 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $21.38 | $24.55 | $24.55 |
Where Virginia sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 38th of 51
$120
MN $269UT $70.79
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.