How much rates vary
Facilitymedian $145 · 10th to 90th $28 to $692Professionalmedian $158 · 10th to 90th $132 to $224
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 $131.83 Median $131.83 Typical High $144.54 | Facility | None | $131.83 | $131.83 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $144.54 Typical High $169.82 | Professional | None (both parts) | $131.83 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.30 Typical High $28.84 | Professional | 26 · Professional part | $21.88 | $26.30 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $117.49 Typical High $138.04 | Professional | TC · Technical part | $109.65 | $117.49 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $194.98 | Professional | None (both parts) | $134.90 | $162.18 | $194.98 |
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 $114.82 Median $138.04 Typical High $165.96 | Professional | TC · Technical part | $114.82 | $138.04 | $165.96 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $186.21 | Professional | None (both parts) | $147.91 | $165.96 | $186.21 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $21.38 | $23.99 | $23.99 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $141.25 Typical High $151.36 | Professional | TC · Technical part | $125.89 | $141.25 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $398.11 Typical High $870.96 | Facility | None | $251.19 | $398.11 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $141.25 | $169.82 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $40.74 | Professional | 26 · Professional part | $21.88 | $25.12 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $218.78 | Professional | TC · Technical part | $117.49 | $141.25 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $173.78 Typical High $213.80 | Professional | None | $144.54 | $173.78 | $213.80 |
Kaiser Permanente 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 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $181.97 | Professional | TC · Technical part | $123.03 | $147.91 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $123.03 | Professional | None (both parts) | $97.72 | $120.23 | $123.03 |
Sentara Setting Facility Modifier None Typical Low $26.92 Median $128.82 Typical High $489.78 | Facility | None | $26.92 | $128.82 | $489.78 |
Sentara Setting Professional Modifier None (both parts) Typical Low $30.90 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $30.90 | $158.49 | $251.19 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $25.12 | $29.51 | $45.71 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $134.90 Typical High $213.80 | Professional | TC · Technical part | $123.03 | $134.90 | $213.80 |
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 $125.89 Median $169.82 Typical High $302.00 | Professional | None (both parts) | $125.89 | $169.82 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.30 Typical High $48.98 | Professional | 26 · Professional part | $19.95 | $26.30 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $147.91 Typical High $257.04 | Professional | TC · Technical part | $104.71 | $147.91 | $257.04 |
2 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 $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $64.57 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $25.70 | $28.84 | $28.84 |
Where Virginia sits
The same service costs 3.8 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· 30th of 51
$158
AK $363UT $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.