How much rates vary
Facilitymedian $35 · 10th to 90th $14 to $182Professionalmedian $33 · 10th to 90th $14 to $50
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 $28.84 Median $28.84 Typical High $33.88 | Facility | None | $28.84 | $28.84 | $33.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $28.84 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $11.22 | $14.13 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $19.95 Typical High $19.95 | Professional | TC · Technical part | $17.38 | $19.95 | $19.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $19.50 Median $33.88 Typical High $41.69 | Professional | None (both parts) | $19.50 | $33.88 | $41.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.80 Typical High $17.78 | Professional | 26 · Professional part | $11.48 | $13.80 | $17.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.91 Typical High $31.62 | Professional | TC · Technical part | $18.20 | $22.91 | $31.62 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $11.75 Median $19.95 Typical High $35.48 | Professional | None (both parts) | $11.75 | $19.95 | $35.48 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.49 Typical High $18.20 | Professional | 26 · Professional part | $13.18 | $15.49 | $18.20 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $28.18 | Professional | TC · Technical part | $22.39 | $22.39 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $56.23 Typical High $70.79 | Facility | None | $48.98 | $56.23 | $70.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $35.48 Typical High $69.18 | Professional | None (both parts) | $30.90 | $35.48 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.18 Typical High $21.38 | Professional | 26 · Professional part | $12.02 | $13.18 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.39 Typical High $44.67 | Professional | TC · Technical part | $19.05 | $22.39 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $51.29 | Professional | None | $32.36 | $38.02 | $51.29 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.49 Typical High $19.05 | Professional | 26 · Professional part | $11.48 | $13.49 | $19.05 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $24.55 Typical High $32.36 | Professional | TC · Technical part | $20.42 | $24.55 | $32.36 |
Medcost Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $85.11 | Professional | None | $66.07 | $83.18 | $85.11 |
Medcost Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $83.18 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $83.18 | $158.49 | $158.49 |
Sentara Setting Facility Modifier None Typical Low $13.80 Median $33.11 Typical High $512.86 | Facility | None | $13.80 | $33.11 | $512.86 |
Sentara Setting Professional Modifier None (both parts) Typical Low $12.88 Median $30.20 Typical High $72.44 | Professional | None (both parts) | $12.88 | $30.20 | $72.44 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $14.45 Typical High $20.89 | Professional | 26 · Professional part | $9.12 | $14.45 | $20.89 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $20.42 Typical High $39.81 | Professional | TC · Technical part | $12.59 | $20.42 | $39.81 |
United Setting Facility Modifier None Typical Low $112.20 Median $123.03 Typical High $275.42 | Facility | None | $112.20 | $123.03 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $38.02 Typical High $74.13 | Professional | None (both parts) | $24.55 | $38.02 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.49 Typical High $22.39 | Professional | 26 · Professional part | $10.00 | $13.49 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $23.44 Typical High $54.95 | Professional | TC · Technical part | $14.13 | $23.44 | $54.95 |
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 $14.45 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $14.45 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $5.75 | $6.76 | $6.76 |
Where Virginia sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 42nd of 51
$33.11
MN $74.13AL $28.18
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.