How much rates vary
Facilitymedian $263 · 10th to 90th $74 to $1,148Professionalmedian $245 · 10th to 90th $178 to $347
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 $223.87 Median $323.59 Typical High $416.87 | Facility | None | $223.87 | $323.59 | $416.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $102.33 Typical High $123.03 | Facility | 26 · Professional part | $56.23 | $102.33 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $223.87 Typical High $309.03 | Facility | TC · Technical part | $165.96 | $223.87 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $263.03 Typical High $380.19 | Professional | None (both parts) | $223.87 | $263.03 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $56.23 | $70.79 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $158.49 | $190.55 | $281.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $245.47 Typical High $295.12 | Professional | None (both parts) | $204.17 | $245.47 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $83.18 | Professional | 26 · Professional part | $56.23 | $67.61 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $177.83 Typical High $213.80 | Professional | TC · Technical part | $147.91 | $177.83 | $213.80 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $57.54 Median $218.78 Typical High $245.47 | Professional | None (both parts) | $57.54 | $218.78 | $245.47 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $74.13 | Professional | 26 · Professional part | $63.10 | $63.10 | $74.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | TC · Technical part | $177.83 | $177.83 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $398.11 Typical High $660.69 | Facility | None | $346.74 | $398.11 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $416.87 | Professional | None (both parts) | $208.93 | $251.19 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $58.88 | $69.18 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $177.83 Typical High $302.00 | Professional | TC · Technical part | $151.36 | $177.83 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $257.04 Typical High $323.59 | Professional | None | $213.80 | $257.04 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $83.18 | Professional | 26 · Professional part | $56.23 | $66.07 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $190.55 Typical High $234.42 | Professional | TC · Technical part | $158.49 | $190.55 | $234.42 |
Medcost Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $309.03 | Professional | None | $239.88 | $302.00 | $309.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $79.43 | $100.00 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $426.58 | Facility | None | $309.03 | $309.03 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $169.82 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $169.82 | $302.00 | $302.00 |
Sentara Setting Facility Modifier None Typical Low $70.79 Median $218.78 Typical High $1,412.54 | Facility | None | $70.79 | $218.78 | $1,412.54 |
Sentara Setting Professional Modifier None (both parts) Typical Low $83.18 Median $234.42 Typical High $436.52 | Professional | None (both parts) | $83.18 | $234.42 | $436.52 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $120.23 | Professional | 26 · Professional part | $67.61 | $79.43 | $120.23 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $194.98 Typical High $323.59 | Professional | TC · Technical part | $158.49 | $194.98 | $323.59 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $2,511.89 | Facility | None | $1,023.29 | $1,148.15 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $251.19 Typical High $446.68 | Professional | None (both parts) | $190.55 | $251.19 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $123.03 | Professional | 26 · Professional part | $52.48 | $70.79 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $177.83 Typical High $323.59 | Professional | TC · Technical part | $128.82 | $177.83 | $323.59 |
3 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 $112.20 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $112.20 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $44.67 | $52.48 | $52.48 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $162.18 Median $199.53 Typical High $213.80 | Professional | 27 · Multiple hospital visits | $162.18 | $199.53 | $213.80 |
Where Virginia sits
The same service costs 3.5 times more in Alaska 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· 42nd of 51
$245
AK $562UT $158
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.