How much rates vary
Facilitymedian $33 · 10th to 90th $9 to $170Professionalmedian $28 · 10th to 90th $18 to $52
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 $25.12 Median $44.67 Typical High $85.11 | Facility | None | $25.12 | $44.67 | $85.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.61 Median $12.02 Typical High $14.79 | Facility | 26 · Professional part | $6.61 | $12.02 | $14.79 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $33.11 Typical High $69.18 | Facility | TC · Technical part | $18.62 | $33.11 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $29.51 Typical High $48.98 | Professional | None (both parts) | $25.12 | $29.51 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.32 Typical High $13.18 | Professional | 26 · Professional part | $6.61 | $8.32 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.38 Typical High $35.48 | Professional | TC · Technical part | $18.62 | $21.38 | $35.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.18 Typical High $34.67 | Professional | None (both parts) | $22.91 | $28.18 | $34.67 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.76 Typical High $9.55 | Professional | 26 · Professional part | $6.61 | $7.76 | $9.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.89 Typical High $28.18 | Professional | TC · Technical part | $16.98 | $20.89 | $28.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $6.76 Median $18.20 Typical High $28.18 | Professional | None (both parts) | $6.76 | $18.20 | $28.18 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.71 Typical High $9.77 | Professional | 26 · Professional part | $7.08 | $8.71 | $9.77 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $24.55 | Professional | TC · Technical part | $20.42 | $20.42 | $24.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $29.51 Typical High $63.10 | Professional | None (both parts) | $23.99 | $29.51 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.94 Typical High $13.80 | Professional | 26 · Professional part | $6.92 | $7.94 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.88 Typical High $51.29 | Professional | TC · Technical part | $17.38 | $21.88 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $29.51 Typical High $37.15 | Professional | None | $25.12 | $29.51 | $37.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.94 Typical High $10.00 | Professional | 26 · Professional part | $6.76 | $7.94 | $10.00 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.38 Typical High $26.30 | Professional | TC · Technical part | $17.78 | $21.38 | $26.30 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $74.13 | Professional | None | $57.54 | $70.79 | $74.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.30 Typical High $12.30 | Professional | 26 · Professional part | $9.77 | $12.30 | $12.30 |
Medcost Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $48.98 | Facility | None | $47.86 | $47.86 | $48.98 |
Medcost Setting Professional Modifier None (both parts) Typical Low $19.05 Median $44.67 Typical High $75.86 | Professional | None (both parts) | $19.05 | $44.67 | $75.86 |
Sentara Setting Facility Modifier None Typical Low $8.32 Median $29.51 Typical High $489.78 | Facility | None | $8.32 | $29.51 | $489.78 |
Sentara Setting Professional Modifier None (both parts) Typical Low $9.55 Median $35.48 Typical High $63.10 | Professional | None (both parts) | $9.55 | $35.48 | $63.10 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $14.79 | Professional | 26 · Professional part | $7.76 | $10.47 | $14.79 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.18 Typical High $47.86 | Professional | TC · Technical part | $20.89 | $28.18 | $47.86 |
United Setting Professional Modifier None (both parts) Typical Low $22.39 Median $35.48 Typical High $67.61 | Professional | None (both parts) | $22.39 | $35.48 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $8.32 Typical High $14.79 | Professional | 26 · Professional part | $6.03 | $8.32 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $25.70 Typical High $56.23 | Professional | TC · Technical part | $15.85 | $25.70 | $56.23 |
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 $12.59 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $12.59 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $5.01 | $5.89 | $5.89 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $46.77 Median $58.88 Typical High $63.10 | Professional | 27 · Multiple hospital visits | $46.77 | $58.88 | $63.10 |
Where Virginia sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 47th of 51
$28.18
MN $69.18MD $25.70
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.