How much rates vary
Facilitymedian $76 · 10th to 90th $22 to $240Professionalmedian $74 · 10th to 90th $56 to $95
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 $66.07 Median $79.43 Typical High $177.83 | Facility | None | $66.07 | $79.43 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $69.18 Typical High $79.43 | Professional | None (both parts) | $66.07 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $18.62 Typical High $20.42 | Professional | 26 · Professional part | $16.98 | $18.62 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $60.26 | Professional | TC · Technical part | $50.12 | $50.12 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $63.10 | $75.86 | $89.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.95 Typical High $23.99 | Professional | 26 · Professional part | $16.98 | $19.95 | $23.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $64.57 | Professional | TC · Technical part | $45.71 | $54.95 | $64.57 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $18.20 Median $70.79 Typical High $83.18 | Professional | None (both parts) | $18.20 | $70.79 | $83.18 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $22.91 | Professional | 26 · Professional part | $19.95 | $19.95 | $22.91 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $58.88 Typical High $61.66 | Professional | TC · Technical part | $53.70 | $58.88 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $151.36 Typical High $169.82 | Facility | None | $95.50 | $151.36 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $74.13 Typical High $112.20 | Professional | None (both parts) | $66.07 | $74.13 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.62 Typical High $28.18 | Professional | 26 · Professional part | $17.78 | $18.62 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $54.95 Typical High $81.28 | Professional | TC · Technical part | $47.86 | $54.95 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $109.65 | Professional | None | $74.13 | $85.11 | $109.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $20.89 Typical High $27.54 | Professional | 26 · Professional part | $18.20 | $20.89 | $27.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $83.18 | Professional | TC · Technical part | $56.23 | $64.57 | $83.18 |
Medcost Setting Professional Modifier None Typical Low $77.62 Median $97.72 Typical High $112.20 | Professional | None | $77.62 | $97.72 | $112.20 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $23.99 | $30.20 | $30.20 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $138.04 | Facility | None | $104.71 | $104.71 | $138.04 |
Medcost Setting Professional Modifier None (both parts) Typical Low $74.13 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $74.13 | $104.71 | $104.71 |
Sentara Setting Facility Modifier None Typical Low $20.89 Median $69.18 Typical High $234.42 | Facility | None | $20.89 | $69.18 | $234.42 |
Sentara Setting Professional Modifier None (both parts) Typical Low $21.88 Median $77.62 Typical High $104.71 | Professional | None (both parts) | $21.88 | $77.62 | $104.71 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.44 Typical High $28.18 | Professional | 26 · Professional part | $17.38 | $23.44 | $28.18 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $64.57 Typical High $91.20 | Professional | TC · Technical part | $39.81 | $64.57 | $91.20 |
United Setting Facility Modifier None Typical Low $251.19 Median $275.42 Typical High $616.60 | Facility | None | $251.19 | $275.42 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $69.18 Typical High $123.03 | Professional | None (both parts) | $57.54 | $69.18 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $30.20 | Professional | 26 · Professional part | $14.45 | $17.78 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $52.48 Typical High $93.33 | Professional | TC · Technical part | $42.66 | $52.48 | $93.33 |
1 more rate 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $53.70 Median $66.07 Typical High $81.28 | Professional | 27 · Multiple hospital visits | $53.70 | $66.07 | $81.28 |
Where Virginia sits
The same service costs 2.4 times more in North Dakota 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· 39th of 51
$74.13
ND $148TX $61.66
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.