How much rates vary
Facilitymedian $115 · 10th to 90th $16 to $457Professionalmedian $98 · 10th to 90th $76 to $151
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 $83.18 Median $141.25 Typical High $213.80 | Facility | None | $83.18 | $141.25 | $213.80 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $11.22 Median $16.60 Typical High $22.39 | Facility | 26 · Professional part | $11.22 | $16.60 | $22.39 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $123.03 Typical High $190.55 | Facility | TC · Technical part | $72.44 | $123.03 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $91.20 Typical High $169.82 | Professional | None (both parts) | $83.18 | $91.20 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.49 Typical High $21.88 | Professional | 26 · Professional part | $11.22 | $13.49 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $77.62 Typical High $151.36 | Professional | TC · Technical part | $72.44 | $77.62 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $114.82 | Professional | None (both parts) | $77.62 | $91.20 | $114.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.18 Typical High $15.85 | Professional | 26 · Professional part | $10.96 | $13.18 | $15.85 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $97.72 | Professional | TC · Technical part | $66.07 | $79.43 | $97.72 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $89.13 Median $97.72 Typical High $114.82 | Professional | None (both parts) | $89.13 | $97.72 | $114.82 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.88 Typical High $14.13 | Professional | 26 · Professional part | $11.75 | $12.88 | $14.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $75.86 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $257.04 Typical High $776.25 | Facility | None | $144.54 | $257.04 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $97.72 Typical High $165.96 | Professional | None (both parts) | $79.43 | $97.72 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $20.89 | Professional | 26 · Professional part | $11.22 | $12.88 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $144.54 | Professional | TC · Technical part | $67.61 | $83.18 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $120.23 | Professional | None | $81.28 | $97.72 | $120.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.59 Typical High $16.60 | Professional | 26 · Professional part | $10.72 | $12.59 | $16.60 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $104.71 | Professional | TC · Technical part | $70.79 | $85.11 | $104.71 |
Medcost Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $154.88 | Professional | None | $123.03 | $154.88 | $154.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $15.85 | $19.95 | $19.95 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $165.96 Typical High $165.96 | Facility | None | $154.88 | $165.96 | $165.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $63.10 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $63.10 | $83.18 | $83.18 |
Sentara Setting Facility Modifier None Typical Low $14.13 Median $95.50 Typical High $436.52 | Facility | None | $14.13 | $95.50 | $436.52 |
Sentara Setting Professional Modifier None (both parts) Typical Low $15.85 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $15.85 | $102.33 | $169.82 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.22 Typical High $24.55 | Professional | 26 · Professional part | $11.75 | $16.22 | $24.55 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $165.96 | Professional | TC · Technical part | $79.43 | $97.72 | $165.96 |
United Setting Facility Modifier None Typical Low $251.19 Median $275.42 Typical High $616.60 | Facility | None | $251.19 | $275.42 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $107.15 Typical High $190.55 | Professional | None (both parts) | $69.18 | $107.15 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.49 Typical High $24.55 | Professional | 26 · Professional part | $10.00 | $13.49 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $95.50 Typical High $169.82 | Professional | TC · Technical part | $58.88 | $95.50 | $169.82 |
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 $40.74 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $40.74 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $16.22 | $18.20 | $18.20 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $102.33 Median $131.83 Typical High $131.83 | Professional | 27 · Multiple hospital visits | $102.33 | $131.83 | $131.83 |
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· 35th of 51
$97.72
AK $209UT $63.10
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.