How much rates vary
Facilitymedian $166 · 10th to 90th $31 to $646Professionalmedian $141 · 10th to 90th $112 to $214
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 $125.89 Median $234.42 Typical High $288.40 | Facility | None | $125.89 | $234.42 | $288.40 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $31.62 Typical High $41.69 | Facility | 26 · Professional part | $22.39 | $31.62 | $41.69 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $194.98 Typical High $251.19 | Facility | TC · Technical part | $104.71 | $194.98 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $125.89 | $134.90 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $36.31 | Professional | 26 · Professional part | $22.39 | $26.30 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $109.65 Typical High $208.93 | Professional | TC · Technical part | $104.71 | $109.65 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $169.82 | Professional | None (both parts) | $117.49 | $138.04 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.30 Typical High $31.62 | Professional | 26 · Professional part | $21.88 | $26.30 | $31.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $147.91 | Professional | TC · Technical part | $95.50 | $114.82 | $147.91 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $104.71 Median $125.89 Typical High $151.36 | Professional | None (both parts) | $104.71 | $125.89 | $151.36 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $21.88 | $24.55 | $24.55 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $128.82 Typical High $162.18 | Professional | TC · Technical part | $112.20 | $128.82 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $407.38 Typical High $776.25 | Facility | None | $204.17 | $407.38 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $120.23 | $144.54 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $41.69 | Professional | 26 · Professional part | $21.88 | $23.44 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $208.93 | Professional | TC · Technical part | $97.72 | $117.49 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $181.97 | Professional | None | $123.03 | $144.54 | $181.97 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $33.11 | Professional | 26 · Professional part | $21.38 | $25.12 | $33.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $117.49 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $165.96 Median $208.93 Typical High $208.93 | Professional | None | $165.96 | $208.93 | $208.93 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $26.30 | $33.11 | $33.11 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $234.42 | Facility | None | $229.09 | $229.09 | $234.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $95.50 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $95.50 | $169.82 | $169.82 |
Sentara Setting Facility Modifier None Typical Low $28.18 Median $131.83 Typical High $602.56 | Facility | None | $28.18 | $131.83 | $602.56 |
Sentara Setting Professional Modifier None (both parts) Typical Low $27.54 Median $162.18 Typical High $251.19 | Professional | None (both parts) | $27.54 | $162.18 | $251.19 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $19.95 | $30.20 | $45.71 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $154.88 Typical High $239.88 | Professional | TC · Technical part | $114.82 | $154.88 | $239.88 |
United Setting Facility Modifier None Typical Low $199.53 Median $218.78 Typical High $489.78 | Facility | None | $199.53 | $218.78 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $107.15 | $154.88 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.12 Typical High $45.71 | Professional | 26 · Professional part | $17.38 | $25.12 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $131.83 Typical High $234.42 | Professional | TC · Technical part | $89.13 | $131.83 | $234.42 |
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 $61.66 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $61.66 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $24.55 | $26.92 | $26.92 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $141.25 Median $177.83 Typical High $177.83 | Professional | 27 · Multiple hospital visits | $141.25 | $177.83 | $177.83 |
Where Virginia sits
The same service costs 3.3 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· 43rd of 51
$141
AK $316UT $95.50
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.