How much rates vary
Facilitymedian $178 · 10th to 90th $29 to $603Professionalmedian $148 · 10th to 90th $117 to $234
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 $229.09 Typical High $323.59 | Facility | None | $131.83 | $229.09 | $323.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $19.95 Median $29.51 Typical High $40.74 | Facility | 26 · Professional part | $19.95 | $29.51 | $40.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $190.55 Typical High $288.40 | Facility | TC · Technical part | $109.65 | $190.55 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $263.03 | Professional | None (both parts) | $131.83 | $141.25 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $40.74 | Professional | 26 · Professional part | $19.95 | $23.44 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $117.49 Typical High $229.09 | Professional | TC · Technical part | $109.65 | $117.49 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $123.03 | $144.54 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.99 Typical High $28.84 | Professional | 26 · Professional part | $19.95 | $23.99 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $147.91 | Professional | TC · Technical part | $102.33 | $123.03 | $147.91 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.44 Median $141.25 Typical High $165.96 | Professional | None (both parts) | $23.44 | $141.25 | $165.96 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $27.54 | Professional | 26 · Professional part | $20.89 | $20.89 | $27.54 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $131.83 Typical High $141.25 | Professional | TC · Technical part | $117.49 | $131.83 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $389.05 Typical High $794.33 | Facility | None | $223.87 | $389.05 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $125.89 | $151.36 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.91 Typical High $38.02 | Professional | 26 · Professional part | $20.42 | $22.91 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $218.78 | Professional | TC · Technical part | $107.15 | $128.82 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $194.98 | Professional | None | $131.83 | $154.88 | $194.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $29.51 | Professional | 26 · Professional part | $19.95 | $23.44 | $29.51 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $162.18 | Professional | TC · Technical part | $109.65 | $131.83 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $190.55 Median $239.88 Typical High $239.88 | Professional | None | $190.55 | $239.88 | $239.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $28.84 | $36.31 | $36.31 |
Medcost Setting Facility Modifier None Typical Low $239.88 Median $257.04 Typical High $257.04 | Facility | None | $239.88 | $257.04 | $257.04 |
Medcost Setting Professional Modifier None (both parts) Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $97.72 | $104.71 | $104.71 |
Sentara Setting Facility Modifier None Typical Low $25.70 Median $151.36 Typical High $524.81 | Facility | None | $25.70 | $151.36 | $524.81 |
Sentara Setting Professional Modifier None (both parts) Typical Low $28.84 Median $162.18 Typical High $295.12 | Professional | None (both parts) | $28.84 | $162.18 | $295.12 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $29.51 Typical High $41.69 | Professional | 26 · Professional part | $21.88 | $29.51 | $41.69 |
Sentara 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 |
United Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $1,000.00 | Facility | None | $407.38 | $446.68 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $112.20 | $165.96 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.99 Typical High $43.65 | Professional | 26 · Professional part | $17.78 | $23.99 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $144.54 Typical High $257.04 | Professional | TC · Technical part | $91.20 | $144.54 | $257.04 |
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 $63.10 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $63.10 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $25.70 | $28.18 | $28.18 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $162.18 Median $199.53 Typical High $199.53 | Professional | 27 · Multiple hospital visits | $162.18 | $199.53 | $199.53 |
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· 39th of 51
$148
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.