How much rates vary
Facilitymedian $158 · 10th to 90th $42 to $631Professionalmedian $170 · 10th to 90th $120 to $234
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 $158.49 Median $177.83 Typical High $346.74 | Facility | None | $158.49 | $177.83 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $218.78 | Professional | None (both parts) | $151.36 | $177.83 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $40.74 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $134.90 Typical High $158.49 | Professional | TC · Technical part | $114.82 | $134.90 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $208.93 | Professional | None (both parts) | $144.54 | $173.78 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $33.11 | $38.90 | $48.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $162.18 | Professional | TC · Technical part | $112.20 | $134.90 | $162.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $33.11 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $33.11 | $120.23 | $169.82 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $151.36 | Professional | TC · Technical part | $134.90 | $134.90 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $275.42 Typical High $660.69 | Facility | None | $234.42 | $275.42 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $288.40 | Professional | None (both parts) | $144.54 | $169.82 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $67.61 | Professional | 26 · Professional part | $33.88 | $39.81 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $223.87 | Professional | TC · Technical part | $102.33 | $134.90 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $223.87 | Professional | None | $151.36 | $177.83 | $223.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $32.36 | $38.02 | $48.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $173.78 | Professional | TC · Technical part | $117.49 | $141.25 | $173.78 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $162.18 | Professional | None | $128.82 | $158.49 | $162.18 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $45.71 | $57.54 | $57.54 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $288.40 | Facility | None | $190.55 | $190.55 | $288.40 |
Medcost Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $117.49 | $165.96 | $165.96 |
Sentara Setting Facility Modifier None Typical Low $40.74 Median $134.90 Typical High $549.54 | Facility | None | $40.74 | $134.90 | $549.54 |
Sentara Setting Professional Modifier None (both parts) Typical Low $46.77 Median $154.88 Typical High $288.40 | Professional | None (both parts) | $46.77 | $154.88 | $288.40 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $38.90 | $45.71 | $69.18 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $144.54 Typical High $239.88 | Professional | TC · Technical part | $114.82 | $144.54 | $239.88 |
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 $112.20 Median $158.49 Typical High $295.12 | Professional | None (both parts) | $112.20 | $158.49 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $30.20 | $40.74 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $123.03 Typical High $229.09 | Professional | TC · Technical part | $81.28 | $123.03 | $229.09 |
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 $77.62 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $77.62 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $30.90 | $35.48 | $35.48 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $81.28 Median $102.33 Typical High $109.65 | Professional | 27 · Multiple hospital visits | $81.28 | $102.33 | $109.65 |
Where Virginia sits
The same service costs 3.0 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· 34th of 51
$170
AK $380UT $129
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.