How much rates vary
Facilitymedian $66 · 10th to 90th $16 to $661Professionalmedian $44 · 10th to 90th $34 to $71
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 $38.90 Median $77.62 Typical High $100.00 | Facility | None | $38.90 | $77.62 | $100.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.33 Median $17.38 Typical High $26.92 | Facility | 26 · Professional part | $9.33 | $17.38 | $26.92 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $29.51 Median $60.26 Typical High $79.43 | Facility | TC · Technical part | $29.51 | $60.26 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $63.10 Typical High $81.28 | Professional | None (both parts) | $38.90 | $63.10 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.80 Typical High $18.62 | Professional | 26 · Professional part | $9.33 | $13.80 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $48.98 Typical High $64.57 | Professional | TC · Technical part | $29.51 | $48.98 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $43.65 Typical High $51.29 | Professional | None (both parts) | $36.31 | $43.65 | $51.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.22 Typical High $13.18 | Professional | 26 · Professional part | $9.33 | $11.22 | $13.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $32.36 Typical High $38.02 | Professional | TC · Technical part | $26.92 | $32.36 | $38.02 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $10.72 Median $39.81 Typical High $43.65 | Professional | None (both parts) | $10.72 | $39.81 | $43.65 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $12.02 | Professional | 26 · Professional part | $9.55 | $9.55 | $12.02 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $36.31 | Professional | TC · Technical part | $30.20 | $30.20 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $134.90 Typical High $371.54 | Facility | None | $114.82 | $134.90 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $42.66 Typical High $83.18 | Professional | None (both parts) | $38.02 | $42.66 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.23 Typical High $20.42 | Professional | 26 · Professional part | $9.77 | $10.23 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $32.36 Typical High $64.57 | Professional | TC · Technical part | $28.18 | $32.36 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $48.98 Typical High $63.10 | Professional | None | $42.66 | $48.98 | $63.10 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.22 Typical High $15.14 | Professional | 26 · Professional part | $10.00 | $11.22 | $15.14 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.02 Typical High $48.98 | Professional | TC · Technical part | $32.36 | $38.02 | $48.98 |
Medcost Setting Professional Modifier None Typical Low $58.88 Median $74.13 Typical High $85.11 | Professional | None | $58.88 | $74.13 | $85.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $18.20 | $22.91 | $22.91 |
Medcost Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $107.15 | Facility | None | $81.28 | $81.28 | $107.15 |
Medcost Setting Professional Modifier None (both parts) Typical Low $57.54 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $57.54 | $93.33 | $93.33 |
Sentara Setting Facility Modifier None Typical Low $15.14 Median $57.54 Typical High $660.69 | Facility | None | $15.14 | $57.54 | $660.69 |
Sentara Setting Professional Modifier None (both parts) Typical Low $14.45 Median $58.88 Typical High $81.28 | Professional | None (both parts) | $14.45 | $58.88 | $81.28 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $15.14 Typical High $20.42 | Professional | 26 · Professional part | $9.77 | $15.14 | $20.42 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $46.77 Typical High $67.61 | Professional | TC · Technical part | $29.51 | $46.77 | $67.61 |
United Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $1,737.80 | Facility | None | $707.95 | $776.25 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $57.54 Typical High $95.50 | Professional | None (both parts) | $44.67 | $57.54 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.88 Typical High $21.88 | Professional | 26 · Professional part | $10.23 | $12.88 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $43.65 Typical High $74.13 | Professional | TC · Technical part | $34.67 | $43.65 | $74.13 |
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 $19.50 Median $19.95 Typical High $31.62 | Professional | 52 · Reduced service | $19.50 | $19.95 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.94 Typical High $12.59 | Professional | 53 · Discontinued | $7.76 | $7.94 | $12.59 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $40.74 Median $51.29 Typical High $60.26 | Professional | 27 · Multiple hospital visits | $40.74 | $51.29 | $60.26 |
Where Virginia sits
The same service costs 3.3 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· 44th of 51
$43.65
MN $105UT $31.62
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.