How much rates vary
Facilitymedian $170 · 10th to 90th $85 to $468Professionalmedian $214 · 10th to 90th $112 to $380
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 $169.82 Median $169.82 Typical High $208.93 | Facility | None | $169.82 | $169.82 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $204.17 Typical High $208.93 | Professional | None (both parts) | $169.82 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $81.28 | $104.71 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $89.13 | $102.33 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $186.21 Typical High $323.59 | Professional | None (both parts) | $85.11 | $186.21 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $117.49 | Professional | 26 · Professional part | $79.43 | $95.50 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $288.40 | Professional | TC · Technical part | $194.98 | $229.09 | $288.40 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $83.18 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $83.18 | $151.36 | $245.47 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $109.65 | Professional | 26 · Professional part | $91.20 | $91.20 | $109.65 |
CareFirst 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 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $204.17 Typical High $346.74 | Professional | None (both parts) | $169.82 | $204.17 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $85.11 | $97.72 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $186.21 | Professional | TC · Technical part | $83.18 | $107.15 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $251.19 | Professional | None | $165.96 | $194.98 | $251.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $120.23 | Professional | 26 · Professional part | $79.43 | $93.33 | $120.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $123.03 | Professional | TC · Technical part | $83.18 | $100.00 | $123.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $114.82 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $316.23 | Facility | None | $263.03 | $263.03 | $316.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $131.83 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $131.83 | $302.00 | $302.00 |
Sentara Setting Facility Modifier None Typical Low $81.28 Median $169.82 Typical High $478.63 | Facility | None | $81.28 | $169.82 | $478.63 |
Sentara Setting Professional Modifier None (both parts) Typical Low $102.33 Median $213.80 Typical High $323.59 | Professional | None (both parts) | $102.33 | $213.80 | $323.59 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $125.89 Typical High $173.78 | Professional | 26 · Professional part | $95.50 | $125.89 | $173.78 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $177.83 | Professional | TC · Technical part | $97.72 | $120.23 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $204.17 | $331.13 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $100.00 Typical High $177.83 | Professional | 26 · Professional part | $70.79 | $100.00 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $223.87 Typical High $446.68 | Professional | TC · Technical part | $134.90 | $223.87 | $446.68 |
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 $85.11 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $85.11 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $33.88 | $41.69 | $41.69 |
Where Virginia sits
The same service costs 3.1 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· 43rd of 51
$214
AK $537NY $174
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.