How much rates vary
Facilitymedian $162 · 10th to 90th $29 to $603Professionalmedian $135 · 10th to 90th $112 to $214
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 $123.03 Median $162.18 Typical High $229.09 | Facility | None | $123.03 | $162.18 | $229.09 |
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 $102.33 Median $131.83 Typical High $190.55 | Facility | TC · Technical part | $102.33 | $131.83 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $218.78 | Professional | None (both parts) | $123.03 | $128.82 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.99 Typical High $40.74 | Professional | 26 · Professional part | $19.95 | $23.99 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $104.71 Typical High $177.83 | Professional | TC · Technical part | $102.33 | $104.71 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $162.18 | Professional | None (both parts) | $112.20 | $131.83 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $28.18 | Professional | 26 · Professional part | $19.50 | $22.91 | $28.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $131.83 | Professional | TC · Technical part | $91.20 | $109.65 | $131.83 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $158.49 | Professional | None (both parts) | $120.23 | $134.90 | $158.49 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $24.55 | Professional | 26 · Professional part | $19.95 | $21.88 | $24.55 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $125.89 | Professional | TC · Technical part | $102.33 | $112.20 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $371.54 Typical High $776.25 | Facility | None | $199.53 | $371.54 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $114.82 | $134.90 | $239.88 |
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 $95.50 Median $112.20 Typical High $199.53 | Professional | TC · Technical part | $95.50 | $112.20 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $169.82 | Professional | None | $114.82 | $134.90 | $169.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $21.88 Typical High $29.51 | Professional | 26 · Professional part | $18.62 | $21.88 | $29.51 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $138.04 | Professional | TC · Technical part | $93.33 | $112.20 | $138.04 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $218.78 | Professional | None | $177.83 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $28.18 | $35.48 | $35.48 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $234.42 Typical High $234.42 | Facility | None | $218.78 | $234.42 | $234.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $91.20 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $91.20 | $128.82 | $128.82 |
Sentara Setting Facility Modifier None Typical Low $25.12 Median $134.90 Typical High $602.56 | Facility | None | $25.12 | $134.90 | $602.56 |
Sentara Setting Professional Modifier None (both parts) Typical Low $28.84 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $28.84 | $151.36 | $263.03 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.20 Typical High $41.69 | Professional | 26 · Professional part | $21.88 | $30.20 | $41.69 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $218.78 | Professional | TC · Technical part | $112.20 | $134.90 | $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 $102.33 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $102.33 | $151.36 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.44 Typical High $42.66 | Professional | 26 · Professional part | $17.78 | $23.44 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $128.82 Typical High $229.09 | Professional | TC · Technical part | $85.11 | $128.82 | $229.09 |
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 $58.88 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $58.88 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $23.44 | $25.70 | $25.70 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $147.91 Median $186.21 Typical High $186.21 | Professional | 27 · Multiple hospital visits | $147.91 | $186.21 | $186.21 |
Where Virginia sits
The same service costs 4.0 times more in Minnesota 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· 35th of 51
$135
MN $380UT $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.