How much rates vary
Facilitymedian $41 · 10th to 90th $16 to $224Professionalmedian $42 · 10th to 90th $29 to $51
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 $38.02 Median $38.02 Typical High $41.69 | Facility | None | $38.02 | $38.02 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $41.69 Typical High $51.29 | Professional | None (both parts) | $38.02 | $41.69 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.85 Typical High $18.20 | Professional | 26 · Professional part | $13.18 | $15.85 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $26.30 Typical High $32.36 | Professional | TC · Technical part | $25.12 | $26.30 | $32.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $42.66 Typical High $51.29 | Professional | None (both parts) | $31.62 | $42.66 | $51.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.85 Typical High $18.62 | Professional | 26 · Professional part | $12.88 | $15.85 | $18.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.18 Typical High $33.88 | Professional | TC · Technical part | $23.44 | $28.18 | $33.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $28.84 Median $39.81 Typical High $43.65 | Professional | None (both parts) | $28.84 | $39.81 | $43.65 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.79 Typical High $15.14 | Professional | 26 · Professional part | $13.49 | $14.79 | $15.14 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $32.36 | Professional | TC · Technical part | $26.30 | $26.30 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $67.61 Typical High $371.54 | Facility | None | $58.88 | $67.61 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $42.66 Typical High $57.54 | Professional | None (both parts) | $37.15 | $42.66 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.45 Typical High $22.39 | Professional | 26 · Professional part | $13.80 | $14.45 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.18 Typical High $36.31 | Professional | TC · Technical part | $23.99 | $28.18 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $47.86 Typical High $61.66 | Professional | None | $41.69 | $47.86 | $61.66 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.49 Typical High $20.89 | Professional | 26 · Professional part | $13.80 | $15.49 | $20.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $31.62 Typical High $40.74 | Professional | TC · Technical part | $26.92 | $31.62 | $40.74 |
Medcost Setting Professional Modifier None Typical Low $38.90 Median $47.86 Typical High $56.23 | Professional | None | $38.90 | $47.86 | $56.23 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.91 Typical High $23.44 | Professional | 26 · Professional part | $18.20 | $22.91 | $23.44 |
Medcost Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $72.44 | Facility | None | $52.48 | $52.48 | $72.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $48.98 | Professional | None (both parts) | $33.88 | $33.88 | $48.98 |
Sentara Setting Facility Modifier None Typical Low $15.14 Median $35.48 Typical High $208.93 | Facility | None | $15.14 | $35.48 | $208.93 |
Sentara Setting Professional Modifier None (both parts) Typical Low $16.98 Median $39.81 Typical High $54.95 | Professional | None (both parts) | $16.98 | $39.81 | $54.95 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.20 Typical High $22.91 | Professional | 26 · Professional part | $13.49 | $18.20 | $22.91 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $28.18 Typical High $38.02 | Professional | TC · Technical part | $17.38 | $28.18 | $38.02 |
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 $30.20 Median $37.15 Typical High $60.26 | Professional | None (both parts) | $30.20 | $37.15 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.49 Typical High $23.44 | Professional | 26 · Professional part | $10.96 | $13.49 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.44 Typical High $38.90 | Professional | TC · Technical part | $18.20 | $23.44 | $38.90 |
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 $19.05 Median $19.05 Typical High $20.89 | Professional | 52 · Reduced service | $19.05 | $19.05 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $8.32 | Professional | 53 · Discontinued | $7.59 | $7.59 | $8.32 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $20.42 Median $25.70 Typical High $29.51 | Professional | 27 · Multiple hospital visits | $20.42 | $25.70 | $29.51 |
Where Virginia sits
The same service costs 2.7 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· 30th of 51
$41.69
MN $83.18UT $30.90
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.