How much rates vary
Facilitymedian $98 · 10th to 90th $41 to $724Professionalmedian $98 · 10th to 90th $37 to $191
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 $97.72 Median $97.72 Typical High $107.15 | Facility | None | $97.72 | $97.72 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $97.72 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $36.31 | $42.66 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $61.66 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $42.66 | $83.18 | $104.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $50.12 | Professional | 26 · Professional part | $34.67 | $41.69 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $109.65 | Professional | TC · Technical part | $83.18 | $97.72 | $109.65 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $33.11 Median $40.74 Typical High $74.13 | Professional | None (both parts) | $33.11 | $40.74 | $74.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $36.31 | $36.31 | $47.86 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $43.65 Typical High $51.29 | Professional | TC · Technical part | $38.02 | $43.65 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $162.18 Typical High $645.65 | Facility | None | $138.04 | $162.18 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $181.97 | Professional | None (both parts) | $91.20 | $109.65 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $33.88 | $43.65 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $109.65 | Professional | TC · Technical part | $57.54 | $67.61 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $141.25 | Professional | None | $95.50 | $112.20 | $141.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $52.48 | Professional | 26 · Professional part | $35.48 | $42.66 | $52.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $70.79 Typical High $89.13 | Professional | TC · Technical part | $58.88 | $70.79 | $89.13 |
Medcost Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $165.96 | Facility | None | $131.83 | $131.83 | $165.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $97.72 | Professional | None (both parts) | $74.13 | $74.13 | $97.72 |
Sentara Setting Facility Modifier None Typical Low $39.81 Median $89.13 Typical High $724.44 | Facility | None | $39.81 | $89.13 | $724.44 |
Sentara Setting Professional Modifier None (both parts) Typical Low $46.77 Median $100.00 Typical High $190.55 | Professional | None (both parts) | $46.77 | $100.00 | $190.55 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $51.29 Typical High $75.86 | Professional | 26 · Professional part | $33.11 | $51.29 | $75.86 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $81.28 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $81.28 | $120.23 |
United Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $1,737.80 | Facility | None | $707.95 | $776.25 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $186.21 Typical High $407.38 | Professional | None (both parts) | $64.57 | $186.21 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $31.62 | $46.77 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $154.88 Typical High $338.84 | Professional | TC · Technical part | $29.51 | $154.88 | $338.84 |
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 $48.98 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $48.98 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $19.50 | $21.88 | $21.88 |
Where Virginia sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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
$97.72
HI $309KY $57.54
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.