How much rates vary
Facilitymedian $166 · 10th to 90th $34 to $661Professionalmedian $174 · 10th to 90th $132 to $257
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 $131.83 Median $144.54 Typical High $177.83 | Facility | None | $131.83 | $144.54 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $165.96 | Professional | None (both parts) | $123.03 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $37.15 | Professional | 26 · Professional part | $23.44 | $27.54 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $125.89 | Professional | TC · Technical part | $95.50 | $109.65 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $213.80 | Professional | None (both parts) | $147.91 | $177.83 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $33.88 | Professional | 26 · Professional part | $22.91 | $27.54 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $181.97 | Professional | TC · Technical part | $125.89 | $151.36 | $181.97 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $181.97 | Professional | None (both parts) | $131.83 | $165.96 | $181.97 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $33.88 | $38.02 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $478.63 Typical High $870.96 | Facility | None | $275.42 | $478.63 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $302.00 | Professional | None (both parts) | $158.49 | $186.21 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $50.12 | Professional | 26 · Professional part | $28.84 | $35.48 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $151.36 Typical High $251.19 | Professional | TC · Technical part | $123.03 | $151.36 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $245.47 | Professional | None | $165.96 | $199.53 | $245.47 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $47.86 | Professional | 26 · Professional part | $33.88 | $39.81 | $47.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $158.49 Typical High $194.98 | Professional | TC · Technical part | $131.83 | $158.49 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $208.93 Median $263.03 Typical High $263.03 | Professional | None | $208.93 | $263.03 | $263.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $40.74 | $50.12 | $50.12 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $281.84 Typical High $281.84 | Facility | None | $245.47 | $281.84 | $281.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $100.00 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $100.00 | $102.33 | $102.33 |
Sentara Setting Facility Modifier None Typical Low $31.62 Median $141.25 Typical High $501.19 | Facility | None | $31.62 | $141.25 | $501.19 |
Sentara Setting Professional Modifier None (both parts) Typical Low $37.15 Median $158.49 Typical High $257.04 | Professional | None (both parts) | $37.15 | $158.49 | $257.04 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $53.70 | Professional | 26 · Professional part | $32.36 | $38.90 | $53.70 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $144.54 Typical High $213.80 | Professional | TC · Technical part | $102.33 | $144.54 | $213.80 |
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 $131.83 Median $194.98 Typical High $338.84 | Professional | None (both parts) | $131.83 | $194.98 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $22.39 | $31.62 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $162.18 Typical High $288.40 | Professional | TC · Technical part | $109.65 | $162.18 | $288.40 |
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 $66.07 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $66.07 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $26.30 | $28.84 | $28.84 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $158.49 Median $213.80 Typical High $213.80 | Professional | 27 · Multiple hospital visits | $158.49 | $213.80 | $213.80 |
Where Virginia sits
The same service costs 3.5 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· 36th of 51
$174
AK $407UT $117
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.