How much rates vary
Facilitymedian $66 · 10th to 90th $23 to $195Professionalmedian $72 · 10th to 90th $51 to $93
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 $75.86 Median $75.86 Typical High $77.62 | Facility | None | $75.86 | $75.86 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $77.62 | Professional | None (both parts) | $75.86 | $75.86 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $24.55 | Professional | 26 · Professional part | $20.42 | $22.39 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $56.23 | Professional | TC · Technical part | $52.48 | $52.48 | $56.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $70.79 Typical High $85.11 | Professional | None (both parts) | $58.88 | $70.79 | $85.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $27.54 | Professional | 26 · Professional part | $19.50 | $22.91 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $48.98 Typical High $66.07 | Professional | TC · Technical part | $40.74 | $48.98 | $66.07 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $19.95 Median $66.07 Typical High $74.13 | Professional | None (both parts) | $19.95 | $66.07 | $74.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $26.30 | Professional | 26 · Professional part | $22.39 | $22.39 | $26.30 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $51.29 Typical High $52.48 | Professional | TC · Technical part | $45.71 | $51.29 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $70.79 Typical High $158.49 | Facility | None | $69.18 | $70.79 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $70.79 Typical High $112.20 | Professional | None (both parts) | $64.57 | $70.79 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.38 Typical High $35.48 | Professional | 26 · Professional part | $20.89 | $21.38 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $50.12 Typical High $77.62 | Professional | TC · Technical part | $43.65 | $50.12 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $95.50 | Professional | None | $64.57 | $74.13 | $95.50 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $30.20 | Professional | 26 · Professional part | $19.50 | $22.91 | $30.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $51.29 Typical High $66.07 | Professional | TC · Technical part | $44.67 | $51.29 | $66.07 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $64.57 Median $66.07 Typical High $87.10 | Professional | None (both parts) | $64.57 | $66.07 | $87.10 |
Sentara Setting Facility Modifier None Typical Low $23.44 Median $58.88 Typical High $208.93 | Facility | None | $23.44 | $58.88 | $208.93 |
Sentara Setting Professional Modifier None (both parts) Typical Low $26.30 Median $75.86 Typical High $104.71 | Professional | None (both parts) | $26.30 | $75.86 | $104.71 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $34.67 | Professional | 26 · Professional part | $20.42 | $26.92 | $34.67 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $57.54 Typical High $74.13 | Professional | TC · Technical part | $42.66 | $57.54 | $74.13 |
United Setting Facility Modifier None Typical Low $112.20 Median $123.03 Typical High $275.42 | Facility | None | $112.20 | $123.03 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $74.13 Typical High $131.83 | Professional | None (both parts) | $61.66 | $74.13 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.39 Typical High $37.15 | Professional | 26 · Professional part | $18.20 | $22.39 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $52.48 Typical High $91.20 | Professional | TC · Technical part | $42.66 | $52.48 | $91.20 |
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 $38.02 Median $38.02 Typical High $38.90 | Professional | 52 · Reduced service | $38.02 | $38.02 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $15.49 | $15.49 | $15.49 |
Where Virginia sits
The same service costs 4.9 times more in Nebraska 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· 37th of 51
$72.44
NE $155UT $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.