How much rates vary
Facilitymedian $60 · 10th to 90th $4 to $437Professionalmedian $54 · 10th to 90th $28 to $74
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 $48.98 Median $48.98 Typical High $54.95 | Facility | None | $48.98 | $48.98 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $51.29 Typical High $54.95 | Professional | None (both parts) | $48.98 | $51.29 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.47 Median $3.80 Typical High $4.07 | Professional | 26 · Professional part | $3.47 | $3.80 | $4.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $46.77 Typical High $51.29 | Professional | TC · Technical part | $45.71 | $46.77 | $51.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $45.71 Median $54.95 Typical High $64.57 | Professional | None (both parts) | $45.71 | $54.95 | $64.57 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $3.47 Median $4.07 Typical High $4.79 | Professional | 26 · Professional part | $3.47 | $4.07 | $4.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $48.98 Typical High $58.88 | Professional | TC · Technical part | $40.74 | $48.98 | $58.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $4.07 Median $53.70 Typical High $64.57 | Professional | None (both parts) | $4.07 | $53.70 | $64.57 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $4.57 Median $5.01 Typical High $6.17 | Professional | 26 · Professional part | $4.57 | $5.01 | $6.17 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $70.79 | Professional | TC · Technical part | $58.88 | $58.88 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $114.82 Typical High $134.90 | Facility | None | $28.84 | $114.82 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $53.70 Typical High $83.18 | Professional | None (both parts) | $46.77 | $53.70 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.55 Median $3.80 Typical High $5.50 | Professional | 26 · Professional part | $3.55 | $3.80 | $5.50 |
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 $51.29 Median $60.26 Typical High $77.62 | Professional | None | $51.29 | $60.26 | $77.62 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $3.55 Median $3.98 Typical High $5.25 | Professional | 26 · Professional part | $3.55 | $3.98 | $5.25 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $72.44 | Professional | TC · Technical part | $47.86 | $56.23 | $72.44 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $102.33 Typical High $109.65 | Professional | None | $81.28 | $102.33 | $109.65 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $5.75 Typical High $5.75 | Professional | 26 · Professional part | $4.68 | $5.75 | $5.75 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $95.50 | Facility | None | $69.18 | $69.18 | $95.50 |
Medcost Setting Professional Modifier None (both parts) Typical Low $32.36 Median $33.11 Typical High $102.33 | Professional | None (both parts) | $32.36 | $33.11 | $102.33 |
Sentara Setting Facility Modifier None Typical Low $4.27 Median $58.88 Typical High $1,230.27 | Facility | None | $4.27 | $58.88 | $1,230.27 |
Sentara Setting Professional Modifier None (both parts) Typical Low $4.27 Median $52.48 Typical High $91.20 | Professional | None (both parts) | $4.27 | $52.48 | $91.20 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $3.55 Median $4.68 Typical High $5.75 | Professional | 26 · Professional part | $3.55 | $4.68 | $5.75 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $51.29 Typical High $79.43 | Professional | TC · Technical part | $34.67 | $51.29 | $79.43 |
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 $40.74 Median $52.48 Typical High $107.15 | Professional | None (both parts) | $40.74 | $52.48 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.69 Median $3.55 Typical High $5.89 | Professional | 26 · Professional part | $2.69 | $3.55 | $5.89 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $47.86 Typical High $102.33 | Professional | TC · Technical part | $38.02 | $47.86 | $102.33 |
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 $24.55 Median $24.55 Typical High $27.54 | Professional | 52 · Reduced service | $24.55 | $24.55 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $11.22 | Professional | 53 · Discontinued | $9.77 | $9.77 | $11.22 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $77.62 Median $95.50 Typical High $104.71 | Professional | 27 · Multiple hospital visits | $77.62 | $95.50 | $104.71 |
Where Virginia sits
The same service costs 3.3 times more in North Dakota 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· 33rd of 51
$53.70
ND $102UT $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.