How much rates vary
Facilitymedian $316 · 10th to 90th $49 to $891Professionalmedian $269 · 10th to 90th $219 to $407
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 $245.47 Median $281.84 Typical High $436.52 | Facility | None | $245.47 | $281.84 | $436.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $64.57 | Facility | 26 · Professional part | $34.67 | $44.67 | $64.57 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $234.42 Typical High $371.54 | Facility | TC · Technical part | $208.93 | $234.42 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $416.87 | Professional | None (both parts) | $229.09 | $269.15 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $61.66 | Professional | 26 · Professional part | $34.67 | $41.69 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $346.74 | Professional | TC · Technical part | $194.98 | $229.09 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $269.15 Typical High $323.59 | Professional | None (both parts) | $223.87 | $269.15 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $50.12 | Professional | 26 · Professional part | $34.67 | $41.69 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $229.09 Typical High $275.42 | Professional | TC · Technical part | $186.21 | $229.09 | $275.42 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $239.88 Median $269.15 Typical High $316.23 | Professional | None (both parts) | $239.88 | $269.15 | $316.23 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $34.67 | $38.90 | $38.90 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $229.09 Typical High $251.19 | Professional | TC · Technical part | $208.93 | $229.09 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $691.83 Typical High $1,174.90 | Facility | None | $416.87 | $691.83 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $457.09 | Professional | None (both parts) | $229.09 | $275.42 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $33.88 | $38.02 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $234.42 Typical High $407.38 | Professional | TC · Technical part | $194.98 | $234.42 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $346.74 | Professional | None | $234.42 | $275.42 | $346.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $51.29 | Professional | 26 · Professional part | $33.88 | $39.81 | $51.29 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $234.42 Typical High $288.40 | Professional | TC · Technical part | $194.98 | $234.42 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $389.05 | Professional | None | $309.03 | $389.05 | $389.05 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $37.15 | $45.71 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $467.74 | Facility | None | $426.58 | $426.58 | $467.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | None (both parts) | $169.82 | $169.82 | $181.97 |
Sentara Setting Facility Modifier None Typical Low $43.65 Median $275.42 Typical High $977.24 | Facility | None | $43.65 | $275.42 | $977.24 |
Sentara Setting Professional Modifier None (both parts) Typical Low $40.74 Median $269.15 Typical High $501.19 | Professional | None (both parts) | $40.74 | $269.15 | $501.19 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $47.86 Typical High $67.61 | Professional | 26 · Professional part | $28.18 | $47.86 | $67.61 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $275.42 Typical High $416.87 | Professional | TC · Technical part | $204.17 | $275.42 | $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 $208.93 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $208.93 | $295.12 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $37.15 Typical High $72.44 | Professional | 26 · Professional part | $25.12 | $37.15 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $257.04 Typical High $467.74 | Professional | TC · Technical part | $173.78 | $257.04 | $467.74 |
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 $117.49 Median $128.82 Typical High $134.90 | Professional | 52 · Reduced service | $117.49 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $51.29 Typical High $53.70 | Professional | 53 · Discontinued | $46.77 | $51.29 | $53.70 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | 27 · Multiple hospital visits | $263.03 | $338.84 | $338.84 |
Where Virginia sits
The same service costs 3.2 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
$269
AK $603UT $191
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.