How much rates vary
Facilitymedian $15 · 10th to 90th $8 to $44Professionalmedian $16 · 10th to 90th $9 to $22
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 $15.49 Median $15.49 Typical High $18.20 | Facility | None | $15.49 | $15.49 | $18.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $18.20 Typical High $18.20 | Professional | None (both parts) | $15.49 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.33 Typical High $9.33 | Professional | 26 · Professional part | $7.59 | $9.33 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $8.51 Typical High $8.51 | Professional | TC · Technical part | $7.94 | $8.51 | $8.51 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $7.94 Median $14.45 Typical High $20.89 | Professional | None (both parts) | $7.94 | $14.45 | $20.89 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $8.91 Median $16.98 Typical High $19.50 | Professional | None (both parts) | $8.91 | $16.98 | $19.50 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $11.22 | Professional | 26 · Professional part | $7.94 | $7.94 | $11.22 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $10.00 Typical High $10.96 | Professional | TC · Technical part | $9.12 | $10.00 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $69.18 | Facility | None | $28.84 | $28.84 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $18.20 Typical High $28.18 | Professional | None (both parts) | $15.85 | $18.20 | $28.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $14.13 | Professional | 26 · Professional part | $7.94 | $8.71 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $9.55 Typical High $14.13 | Professional | TC · Technical part | $8.13 | $9.55 | $14.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.60 Median $19.50 Typical High $28.84 | Professional | None | $16.60 | $19.50 | $28.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.12 Typical High $13.80 | Professional | 26 · Professional part | $7.76 | $9.12 | $13.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $10.23 Typical High $14.45 | Professional | TC · Technical part | $8.51 | $10.23 | $14.45 |
Medcost Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Medcost Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $29.51 | Facility | None | $22.91 | $22.91 | $29.51 |
Medcost Setting Professional Modifier None (both parts) Typical Low $13.80 Median $13.80 Typical High $14.45 | Professional | None (both parts) | $13.80 | $13.80 | $14.45 |
Sentara Setting Facility Modifier None Typical Low $7.59 Median $13.18 Typical High $41.69 | Facility | None | $7.59 | $13.18 | $41.69 |
Sentara Setting Professional Modifier None (both parts) Typical Low $8.13 Median $15.85 Typical High $24.55 | Professional | None (both parts) | $8.13 | $15.85 | $24.55 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $9.77 Typical High $12.59 | Professional | 26 · Professional part | $6.03 | $9.77 | $12.59 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $5.50 Median $10.00 Typical High $12.88 | Professional | TC · Technical part | $5.50 | $10.00 | $12.88 |
United Setting Facility Modifier None Typical Low $54.95 Median $60.26 Typical High $134.90 | Facility | None | $54.95 | $60.26 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $13.18 Median $18.20 Typical High $30.20 | Professional | None (both parts) | $13.18 | $18.20 | $30.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.12 Typical High $14.79 | Professional | 26 · Professional part | $6.76 | $9.12 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $6.31 Median $9.12 Typical High $15.14 | Professional | TC · Technical part | $6.31 | $9.12 | $15.14 |
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 $7.76 Median $8.91 Typical High $8.91 | Professional | 52 · Reduced service | $7.76 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $3.09 | $3.63 | $3.63 |
Where Virginia sits
The same service costs 2.7 times more in Minnesota than in Florida. 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· 48th of 51
$15.85
MN $38.02FL $14.13
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.