How much rates vary
Facilitymedian $69 · 10th to 90th $27 to $191Professionalmedian $78 · 10th to 90th $43 to $105
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 $72.44 Median $89.13 Typical High $114.82 | Facility | None | $72.44 | $89.13 | $114.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.88 Median $53.70 Typical High $69.18 | Facility | 26 · Professional part | $33.88 | $53.70 | $69.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $35.48 Typical High $46.77 | Facility | TC · Technical part | $28.84 | $35.48 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $79.43 Typical High $104.71 | Professional | None (both parts) | $72.44 | $79.43 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $63.10 | Professional | 26 · Professional part | $33.88 | $42.66 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $39.81 Typical High $50.12 | Professional | TC · Technical part | $28.84 | $39.81 | $50.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $83.18 Typical High $102.33 | Professional | None (both parts) | $42.66 | $83.18 | $102.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $33.88 | $38.90 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $45.71 Typical High $63.10 | Professional | TC · Technical part | $39.81 | $45.71 | $63.10 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $42.66 Median $77.62 Typical High $85.11 | Professional | None (both parts) | $42.66 | $77.62 | $85.11 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $42.66 | Professional | 26 · Professional part | $34.67 | $38.02 | $42.66 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $60.26 Typical High $67.61 | Professional | TC · Technical part | $44.67 | $60.26 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $48.98 Typical High $56.23 | Facility | None | $33.88 | $48.98 | $56.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $85.11 Typical High $120.23 | Professional | None (both parts) | $67.61 | $85.11 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $35.48 | $40.74 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $41.69 Typical High $64.57 | Professional | TC · Technical part | $26.30 | $41.69 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $120.23 | Professional | None | $75.86 | $89.13 | $120.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $33.88 | $39.81 | $60.26 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $48.98 Typical High $61.66 | Professional | TC · Technical part | $38.90 | $48.98 | $61.66 |
Medcost Setting Professional Modifier None Typical Low $75.86 Median $95.50 Typical High $100.00 | Professional | None | $75.86 | $95.50 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $117.49 | Facility | None | $93.33 | $93.33 | $117.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $52.48 | $52.48 | $52.48 |
Sentara Setting Facility Modifier None Typical Low $24.55 Median $61.66 Typical High $229.09 | Facility | None | $24.55 | $61.66 | $229.09 |
Sentara Setting Professional Modifier None (both parts) Typical Low $25.12 Median $60.26 Typical High $104.71 | Professional | None (both parts) | $25.12 | $60.26 | $104.71 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $27.54 | $44.67 | $61.66 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.99 Typical High $60.26 | Professional | TC · Technical part | $18.20 | $23.99 | $60.26 |
United Setting Facility Modifier None Typical Low $70.79 Median $77.62 Typical High $173.78 | Facility | None | $70.79 | $77.62 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $74.13 Typical High $125.89 | Professional | None (both parts) | $54.95 | $74.13 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $42.66 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $30.90 Typical High $57.54 | Professional | TC · Technical part | $20.42 | $30.90 | $57.54 |
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 $36.31 Median $37.15 Typical High $39.81 | Professional | 52 · Reduced service | $36.31 | $37.15 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.79 Typical High $15.85 | Professional | 53 · Discontinued | $14.45 | $14.79 | $15.85 |
Where Virginia sits
The same service costs 3.4 times more in Alaska 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
$77.62
AK $182NY $53.70
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.