How much rates vary
Facilitymedian $41 · 10th to 90th $14 to $182Professionalmedian $48 · 10th to 90th $33 to $59
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 $39.81 Median $39.81 Typical High $42.66 | Facility | None | $39.81 | $39.81 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $40.74 Typical High $42.66 | Professional | None (both parts) | $39.81 | $40.74 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.30 Typical High $13.49 | Professional | 26 · Professional part | $11.22 | $12.30 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $29.51 | Professional | TC · Technical part | $28.18 | $28.18 | $29.51 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $50.12 Typical High $58.88 | Professional | None (both parts) | $40.74 | $50.12 | $58.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.18 Typical High $15.85 | Professional | 26 · Professional part | $11.22 | $13.18 | $15.85 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $36.31 Typical High $45.71 | Professional | TC · Technical part | $30.20 | $36.31 | $45.71 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $14.79 Median $52.48 Typical High $57.54 | Professional | None (both parts) | $14.79 | $52.48 | $57.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $16.98 | Professional | 26 · Professional part | $13.18 | $13.18 | $16.98 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $48.98 | Professional | TC · Technical part | $38.90 | $38.90 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $83.18 Typical High $223.87 | Facility | None | $72.44 | $83.18 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $48.98 Typical High $66.07 | Professional | None (both parts) | $41.69 | $48.98 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.30 Typical High $19.05 | Professional | 26 · Professional part | $11.75 | $12.30 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $36.31 Typical High $47.86 | Professional | TC · Technical part | $30.20 | $36.31 | $47.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $69.18 | Professional | None | $46.77 | $54.95 | $69.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $18.20 | Professional | 26 · Professional part | $11.75 | $13.49 | $18.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $40.74 Typical High $51.29 | Professional | TC · Technical part | $34.67 | $40.74 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $77.62 | Professional | None | $56.23 | $77.62 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $74.13 | Facility | None | $58.88 | $58.88 | $74.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $47.86 | Professional | None (both parts) | $42.66 | $42.66 | $47.86 |
Sentara Setting Facility Modifier None Typical Low $13.80 Median $35.48 Typical High $123.03 | Facility | None | $13.80 | $35.48 | $123.03 |
Sentara Setting Professional Modifier None (both parts) Typical Low $14.45 Median $42.66 Typical High $60.26 | Professional | None (both parts) | $14.45 | $42.66 | $60.26 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.80 Typical High $18.62 | Professional | 26 · Professional part | $11.75 | $13.80 | $18.62 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.88 Typical High $44.67 | Professional | TC · Technical part | $26.30 | $33.88 | $44.67 |
United Setting Facility Modifier None Typical Low $245.47 Median $269.15 Typical High $602.56 | Facility | None | $245.47 | $269.15 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $41.69 Typical High $72.44 | Professional | None (both parts) | $33.11 | $41.69 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $20.42 | Professional | 26 · Professional part | $10.00 | $12.30 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $29.51 Typical High $51.29 | Professional | TC · Technical part | $22.39 | $29.51 | $51.29 |
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 $19.95 Median $19.95 Typical High $21.38 | Professional | 52 · Reduced service | $19.95 | $19.95 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $8.51 | Professional | 53 · Discontinued | $7.94 | $7.94 | $8.51 |
Where Virginia sits
The same service costs 2.9 times more in Alaska 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· 29th of 51
$47.86
AK $89.13UT $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.