How much rates vary
Facilitymedian $166 · 10th to 90th $29 to $776Professionalmedian $138 · 10th to 90th $105 to $209
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 $125.89 Median $169.82 Typical High $234.42 | Facility | None | $125.89 | $169.82 | $234.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $26.30 Typical High $39.81 | Facility | 26 · Professional part | $21.38 | $26.30 | $39.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $144.54 Typical High $194.98 | Facility | TC · Technical part | $104.71 | $144.54 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $134.90 Typical High $213.80 | Professional | None (both parts) | $123.03 | $134.90 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.30 Typical High $38.90 | Professional | 26 · Professional part | $21.38 | $26.30 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $109.65 Typical High $177.83 | Professional | TC · Technical part | $102.33 | $109.65 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $138.04 Typical High $165.96 | Professional | None (both parts) | $114.82 | $138.04 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.70 Typical High $30.90 | Professional | 26 · Professional part | $21.38 | $25.70 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $134.90 | Professional | TC · Technical part | $93.33 | $112.20 | $134.90 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.99 Median $125.89 Typical High $138.04 | Professional | None (both parts) | $23.99 | $125.89 | $138.04 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $28.18 | Professional | 26 · Professional part | $21.38 | $21.38 | $28.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | TC · Technical part | $114.82 | $114.82 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $407.38 Typical High $776.25 | Facility | None | $204.17 | $407.38 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $120.23 | $144.54 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.39 Typical High $40.74 | Professional | 26 · Professional part | $17.78 | $22.39 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $213.80 | Professional | TC · Technical part | $97.72 | $120.23 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $173.78 | Professional | None | $117.49 | $141.25 | $173.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $31.62 | Professional | 26 · Professional part | $20.89 | $24.55 | $31.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $141.25 | Professional | TC · Technical part | $95.50 | $114.82 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $204.17 | Professional | None | $162.18 | $204.17 | $204.17 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $19.95 | $25.12 | $25.12 |
Medcost Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $234.42 | Facility | None | $223.87 | $223.87 | $234.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $93.33 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $93.33 | $138.04 | $138.04 |
Sentara Setting Facility Modifier None Typical Low $23.44 Median $131.83 Typical High $891.25 | Facility | None | $23.44 | $131.83 | $891.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $22.39 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $22.39 | $151.36 | $245.47 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.91 Typical High $41.69 | Professional | 26 · Professional part | $18.20 | $22.91 | $41.69 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $218.78 | Professional | TC · Technical part | $114.82 | $151.36 | $218.78 |
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 $104.71 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $104.71 | $154.88 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $22.39 Typical High $45.71 | Professional | 26 · Professional part | $13.18 | $22.39 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $134.90 Typical High $234.42 | Professional | TC · Technical part | $87.10 | $134.90 | $234.42 |
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 $60.26 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $60.26 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $23.99 | $26.92 | $26.92 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $144.54 Median $177.83 Typical High $177.83 | Professional | 27 · Multiple hospital visits | $144.54 | $177.83 | $177.83 |
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· 39th of 51
$138
AK $302UT $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.