How much rates vary
Facilitymedian $178 · 10th to 90th $32 to $776Professionalmedian $162 · 10th to 90th $129 to $245
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 $128.82 Median $177.83 Typical High $229.09 | Facility | None | $128.82 | $177.83 | $229.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $20.89 Median $30.90 Typical High $38.90 | Facility | 26 · Professional part | $20.89 | $30.90 | $38.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $186.21 | Facility | TC · Technical part | $109.65 | $144.54 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $128.82 | $141.25 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.70 Typical High $38.02 | Professional | 26 · Professional part | $20.89 | $25.70 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $117.49 Typical High $194.98 | Professional | TC · Technical part | $107.15 | $117.49 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $194.98 | Professional | None (both parts) | $131.83 | $162.18 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $30.90 | Professional | 26 · Professional part | $21.38 | $25.12 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $165.96 | Professional | TC · Technical part | $112.20 | $134.90 | $165.96 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $144.54 | $162.18 | $190.55 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $25.70 | Professional | 26 · Professional part | $21.38 | $23.44 | $25.70 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $138.04 Typical High $151.36 | Professional | TC · Technical part | $123.03 | $138.04 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $478.63 Typical High $870.96 | Facility | None | $245.47 | $478.63 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $281.84 | Professional | None (both parts) | $138.04 | $162.18 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $39.81 | Professional | 26 · Professional part | $21.88 | $23.99 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $251.19 | Professional | TC · Technical part | $117.49 | $138.04 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $204.17 | Professional | None | $138.04 | $162.18 | $204.17 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.99 Typical High $30.90 | Professional | 26 · Professional part | $20.42 | $23.99 | $30.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $138.04 Typical High $169.82 | Professional | TC · Technical part | $114.82 | $138.04 | $169.82 |
Medcost Setting Professional Modifier None Typical Low $190.55 Median $234.42 Typical High $234.42 | Professional | None | $190.55 | $234.42 | $234.42 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $25.70 | $31.62 | $31.62 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $275.42 Typical High $275.42 | Facility | None | $245.47 | $275.42 | $275.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $97.72 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $97.72 | $138.04 | $138.04 |
Sentara Setting Facility Modifier None Typical Low $26.92 Median $147.91 Typical High $676.08 | Facility | None | $26.92 | $147.91 | $676.08 |
Sentara Setting Professional Modifier None (both parts) Typical Low $26.92 Median $177.83 Typical High $281.84 | Professional | None (both parts) | $26.92 | $177.83 | $281.84 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $29.51 Typical High $44.67 | Professional | 26 · Professional part | $19.50 | $29.51 | $44.67 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $239.88 | Professional | TC · Technical part | $117.49 | $165.96 | $239.88 |
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 $123.03 Median $181.97 Typical High $323.59 | Professional | None (both parts) | $123.03 | $181.97 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $24.55 Typical High $44.67 | Professional | 26 · Professional part | $16.98 | $24.55 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $104.71 | $158.49 | $275.42 |
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 $64.57 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $64.57 | $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 $204.17 Typical High $204.17 | Professional | 27 · Multiple hospital visits | $162.18 | $204.17 | $204.17 |
Where Virginia sits
The same service costs 3.7 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· 29th of 51
$162
AK $355UT $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.