How much rates vary
Facilitymedian $40 · 10th to 90th $11 to $331Professionalmedian $31 · 10th to 90th $26 to $45
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 $26.92 Median $46.77 Typical High $60.26 | Facility | None | $26.92 | $46.77 | $60.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $11.22 Typical High $14.79 | Facility | 26 · Professional part | $7.59 | $11.22 | $14.79 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $35.48 Typical High $45.71 | Facility | TC · Technical part | $19.50 | $35.48 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $37.15 Typical High $48.98 | Professional | None (both parts) | $26.92 | $37.15 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.12 Typical High $12.88 | Professional | 26 · Professional part | $7.59 | $9.12 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $28.18 Typical High $37.15 | Professional | TC · Technical part | $19.50 | $28.18 | $37.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.12 Median $30.90 Typical High $36.31 | Professional | None (both parts) | $25.12 | $30.90 | $36.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.91 Typical High $10.47 | Professional | 26 · Professional part | $7.41 | $8.91 | $10.47 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.88 Typical High $29.51 | Professional | TC · Technical part | $18.20 | $21.88 | $29.51 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $26.30 Median $30.90 Typical High $34.67 | Professional | None (both parts) | $26.30 | $30.90 | $34.67 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.51 Typical High $8.51 | Professional | 26 · Professional part | $7.59 | $8.51 | $8.51 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.39 Typical High $22.39 | Professional | TC · Technical part | $19.95 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $77.62 Typical High $186.21 | Facility | None | $66.07 | $77.62 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $30.20 Typical High $48.98 | Professional | None (both parts) | $26.92 | $30.20 | $48.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.32 Typical High $12.59 | Professional | 26 · Professional part | $7.94 | $8.32 | $12.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $21.88 Typical High $36.31 | Professional | TC · Technical part | $19.05 | $21.88 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $33.88 Typical High $42.66 | Professional | None | $28.84 | $33.88 | $42.66 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.12 Typical High $12.02 | Professional | 26 · Professional part | $7.94 | $9.12 | $12.02 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $24.55 Typical High $31.62 | Professional | TC · Technical part | $20.89 | $24.55 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $34.67 Median $43.65 Typical High $51.29 | Professional | None | $34.67 | $43.65 | $51.29 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $10.23 | $12.88 | $12.88 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $64.57 | Facility | None | $45.71 | $45.71 | $64.57 |
Medcost Setting Professional Modifier None (both parts) Typical Low $33.88 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $33.88 | $75.86 | $75.86 |
Sentara Setting Facility Modifier None Typical Low $9.33 Median $34.67 Typical High $331.13 | Facility | None | $9.33 | $34.67 | $331.13 |
Sentara Setting Professional Modifier None (both parts) Typical Low $9.33 Median $34.67 Typical High $48.98 | Professional | None (both parts) | $9.33 | $34.67 | $48.98 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.23 Typical High $12.88 | Professional | 26 · Professional part | $7.76 | $10.23 | $12.88 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $28.18 Typical High $38.90 | Professional | TC · Technical part | $19.05 | $28.18 | $38.90 |
United Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $1,000.00 | Facility | None | $407.38 | $446.68 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $34.67 Typical High $56.23 | Professional | None (both parts) | $26.92 | $34.67 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.76 Typical High $13.18 | Professional | 26 · Professional part | $6.31 | $7.76 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $26.30 Typical High $43.65 | Professional | TC · Technical part | $19.95 | $26.30 | $43.65 |
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 $13.49 Median $13.49 Typical High $18.62 | Professional | 52 · Reduced service | $13.49 | $13.49 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $7.41 | Professional | 53 · Discontinued | $5.37 | $5.37 | $7.41 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $24.55 Median $30.90 Typical High $35.48 | Professional | 27 · Multiple hospital visits | $24.55 | $30.90 | $35.48 |
Where Virginia sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 40th of 51
$30.90
MN $67.61TX $26.92
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.