How much rates vary
Facilitymedian $309 · 10th to 90th $58 to $1,047Professionalmedian $295 · 10th to 90th $224 to $427
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 $275.42 Median $288.40 Typical High $602.56 | Facility | None | $275.42 | $288.40 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $371.54 | Professional | None (both parts) | $251.19 | $288.40 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $42.66 | $50.12 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $234.42 Typical High $302.00 | Professional | TC · Technical part | $199.53 | $234.42 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $309.03 Typical High $371.54 | Professional | None (both parts) | $257.04 | $309.03 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $61.66 | Professional | 26 · Professional part | $42.66 | $51.29 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $257.04 Typical High $309.03 | Professional | TC · Technical part | $208.93 | $257.04 | $309.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $45.71 Median $251.19 Typical High $275.42 | Professional | None (both parts) | $45.71 | $251.19 | $275.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $53.70 | Professional | 26 · Professional part | $40.74 | $40.74 | $53.70 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $229.09 Typical High $234.42 | Professional | TC · Technical part | $208.93 | $229.09 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $1,230.27 | Facility | None | $467.74 | $741.31 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $302.00 Typical High $489.78 | Professional | None (both parts) | $251.19 | $302.00 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $79.43 | Professional | 26 · Professional part | $43.65 | $48.98 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $407.38 | Professional | TC · Technical part | $208.93 | $251.19 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $316.23 Typical High $389.05 | Professional | None | $263.03 | $316.23 | $389.05 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $61.66 | Professional | 26 · Professional part | $42.66 | $50.12 | $61.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $263.03 Typical High $323.59 | Professional | TC · Technical part | $218.78 | $263.03 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $407.38 Typical High $407.38 | Professional | None | $309.03 | $407.38 | $407.38 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $60.26 | $75.86 | $75.86 |
Medcost Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $489.78 | Facility | None | $416.87 | $416.87 | $489.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $204.17 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $204.17 | $213.80 | $213.80 |
Sentara Setting Facility Modifier None Typical Low $52.48 Median $269.15 Typical High $1,148.15 | Facility | None | $52.48 | $269.15 | $1,148.15 |
Sentara Setting Professional Modifier None (both parts) Typical Low $60.26 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $60.26 | $275.42 | $501.19 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $89.13 | Professional | 26 · Professional part | $50.12 | $64.57 | $89.13 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $234.42 Typical High $416.87 | Professional | TC · Technical part | $204.17 | $234.42 | $416.87 |
United Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $1,096.48 | Facility | None | $446.68 | $501.19 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $316.23 Typical High $549.54 | Professional | None (both parts) | $218.78 | $316.23 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $51.29 Typical High $93.33 | Professional | 26 · Professional part | $38.02 | $51.29 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $263.03 Typical High $457.09 | Professional | TC · Technical part | $181.97 | $263.03 | $457.09 |
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 $128.82 Median $141.25 Typical High $144.54 | Professional | 52 · Reduced service | $128.82 | $141.25 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $56.23 Typical High $57.54 | Professional | 53 · Discontinued | $51.29 | $56.23 | $57.54 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $234.42 Median $331.13 Typical High $331.13 | Professional | 27 · Multiple hospital visits | $234.42 | $331.13 | $331.13 |
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· 33rd of 51
$295
AK $646UT $214
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.