How much rates vary
Facilitymedian $219 · 10th to 90th $32 to $776Professionalmedian $178 · 10th to 90th $135 to $275
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 $162.18 Median $173.78 Typical High $389.05 | Facility | None | $162.18 | $173.78 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $173.78 Typical High $275.42 | Professional | None (both parts) | $162.18 | $173.78 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $38.90 | Professional | 26 · Professional part | $22.39 | $26.30 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $147.91 Typical High $239.88 | Professional | TC · Technical part | $138.04 | $147.91 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $218.78 | Professional | None (both parts) | $151.36 | $177.83 | $218.78 |
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 $128.82 Median $151.36 Typical High $190.55 | Professional | TC · Technical part | $128.82 | $151.36 | $190.55 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.44 Median $169.82 Typical High $194.98 | Professional | None (both parts) | $23.44 | $169.82 | $194.98 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $33.88 | Professional | 26 · Professional part | $22.91 | $30.20 | $33.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $147.91 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $501.19 Typical High $870.96 | Facility | None | $275.42 | $501.19 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $154.88 | $186.21 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $41.69 | Professional | 26 · Professional part | $22.91 | $25.70 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $162.18 Typical High $275.42 | Professional | TC · Technical part | $131.83 | $162.18 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $239.88 | Professional | None | $162.18 | $190.55 | $239.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $33.11 | Professional | 26 · Professional part | $21.88 | $25.70 | $33.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $165.96 Typical High $204.17 | Professional | TC · Technical part | $138.04 | $165.96 | $204.17 |
Medcost Setting Professional Modifier None Typical Low $223.87 Median $281.84 Typical High $281.84 | Professional | None | $223.87 | $281.84 | $281.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $32.36 | $40.74 | $40.74 |
Medcost Setting Facility Modifier None Typical Low $295.12 Median $316.23 Typical High $316.23 | Facility | None | $295.12 | $316.23 | $316.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | None (both parts) | $109.65 | $109.65 | $120.23 |
Sentara Setting Facility Modifier None Typical Low $27.54 Median $190.55 Typical High $707.95 | Facility | None | $27.54 | $190.55 | $707.95 |
Sentara Setting Professional Modifier None (both parts) Typical Low $31.62 Median $204.17 Typical High $354.81 | Professional | None (both parts) | $31.62 | $204.17 | $354.81 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $48.98 | Professional | 26 · Professional part | $23.99 | $33.11 | $48.98 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $154.88 | $190.55 | $316.23 |
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 $138.04 Median $204.17 Typical High $363.08 | Professional | None (both parts) | $138.04 | $204.17 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $48.98 | Professional | 26 · Professional part | $19.95 | $26.92 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $181.97 Typical High $316.23 | Professional | TC · Technical part | $114.82 | $181.97 | $316.23 |
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 $77.62 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $77.62 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $31.62 | $34.67 | $34.67 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $190.55 Median $239.88 Typical High $239.88 | Professional | 27 · Multiple hospital visits | $190.55 | $239.88 | $239.88 |
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· 41st of 51
$178
AK $417UT $126
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.