How much rates vary
Facilitymedian $33 · 10th to 90th $4 to $219Professionalmedian $28 · 10th to 90th $22 to $78
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 $23.99 Median $40.74 Typical High $173.78 | Facility | None | $23.99 | $40.74 | $173.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $2.82 Median $4.79 Typical High $6.76 | Facility | 26 · Professional part | $2.82 | $4.79 | $6.76 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $35.48 Typical High $169.82 | Facility | TC · Technical part | $20.89 | $35.48 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $27.54 Typical High $54.95 | Professional | None (both parts) | $23.99 | $27.54 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.82 Median $3.55 Typical High $5.75 | Professional | 26 · Professional part | $2.82 | $3.55 | $5.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.99 Typical High $48.98 | Professional | TC · Technical part | $20.89 | $23.99 | $48.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.88 Median $26.30 Typical High $35.48 | Professional | None (both parts) | $21.88 | $26.30 | $35.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.82 Median $3.39 Typical High $4.17 | Professional | 26 · Professional part | $2.82 | $3.39 | $4.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $30.90 | Professional | TC · Technical part | $19.05 | $23.44 | $30.90 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.44 Median $25.70 Typical High $30.90 | Professional | None (both parts) | $23.44 | $25.70 | $30.90 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $2.82 Median $3.16 Typical High $3.16 | Professional | 26 · Professional part | $2.82 | $3.16 | $3.16 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.91 Typical High $22.91 | Professional | TC · Technical part | $20.42 | $22.91 | $22.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $27.54 Typical High $123.03 | Professional | None (both parts) | $22.39 | $27.54 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $3.63 Typical High $6.17 | Professional | 26 · Professional part | $2.95 | $3.63 | $6.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $24.55 Typical High $117.49 | Professional | TC · Technical part | $19.05 | $24.55 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $34.67 | Professional | None | $23.44 | $27.54 | $34.67 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $3.09 Median $3.63 Typical High $4.57 | Professional | 26 · Professional part | $3.09 | $3.63 | $4.57 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.99 Typical High $29.51 | Professional | TC · Technical part | $19.95 | $23.99 | $29.51 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $169.82 | Professional | None | $128.82 | $162.18 | $169.82 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $6.31 Typical High $6.31 | Professional | 26 · Professional part | $5.01 | $6.31 | $6.31 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $72.44 Typical High $72.44 | Facility | None | $45.71 | $72.44 | $72.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $17.78 Median $79.43 Typical High $100.00 | Professional | None (both parts) | $17.78 | $79.43 | $100.00 |
Sentara Setting Facility Modifier None Typical Low $3.98 Median $30.90 Typical High $616.60 | Facility | None | $3.98 | $30.90 | $616.60 |
Sentara Setting Professional Modifier None (both parts) Typical Low $4.37 Median $31.62 Typical High $144.54 | Professional | None (both parts) | $4.37 | $31.62 | $144.54 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $3.31 Median $4.68 Typical High $6.31 | Professional | 26 · Professional part | $3.31 | $4.68 | $6.31 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.90 Typical High $72.44 | Professional | TC · Technical part | $22.91 | $30.90 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $20.89 Median $41.69 Typical High $144.54 | Professional | None (both parts) | $20.89 | $41.69 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.63 Median $3.89 Typical High $6.46 | Professional | 26 · Professional part | $2.63 | $3.89 | $6.46 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $37.15 Typical High $141.25 | Professional | TC · Technical part | $18.20 | $37.15 | $141.25 |
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 $12.02 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $12.02 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.62 Typical High $5.62 | Professional | 53 · Discontinued | $4.79 | $5.62 | $5.62 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $123.03 Median $154.88 Typical High $162.18 | Professional | 27 · Multiple hospital visits | $123.03 | $154.88 | $162.18 |
Where Virginia sits
The same service costs 2.9 times more in Kansas 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· 45th of 51
$27.54
KS $74.13MD $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.