How much rates vary
Facilitymedian $105 · 10th to 90th $49 to $347Professionalmedian $120 · 10th to 90th $81 to $158
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 $112.20 Median $128.82 Typical High $269.15 | Facility | None | $112.20 | $128.82 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $128.82 Typical High $134.90 | Professional | None (both parts) | $112.20 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $61.66 | Professional | 26 · Professional part | $46.77 | $54.95 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $60.26 | $72.44 | $72.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $123.03 Typical High $147.91 | Professional | None (both parts) | $102.33 | $123.03 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $66.07 | Professional | 26 · Professional part | $45.71 | $53.70 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $83.18 | Professional | TC · Technical part | $57.54 | $67.61 | $83.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $47.86 Median $112.20 Typical High $123.03 | Professional | None (both parts) | $47.86 | $112.20 | $123.03 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $58.88 | Professional | 26 · Professional part | $53.70 | $53.70 | $58.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $83.18 | Professional | TC · Technical part | $63.10 | $63.10 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $128.82 Typical High $154.88 | Facility | None | $95.50 | $128.82 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $213.80 | Professional | None (both parts) | $100.00 | $117.49 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $57.54 Typical High $93.33 | Professional | 26 · Professional part | $44.67 | $57.54 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $123.03 | Professional | TC · Technical part | $47.86 | $61.66 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $169.82 | Professional | None | $114.82 | $138.04 | $169.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $70.79 | Professional | 26 · Professional part | $47.86 | $56.23 | $70.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $100.00 | Professional | TC · Technical part | $67.61 | $79.43 | $100.00 |
Medcost Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $138.04 | Professional | None | $102.33 | $125.89 | $138.04 |
Medcost Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $218.78 | Facility | None | $114.82 | $114.82 | $218.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $85.11 Median $87.10 Typical High $109.65 | Professional | None (both parts) | $85.11 | $87.10 | $109.65 |
Sentara Setting Facility Modifier None Typical Low $45.71 Median $97.72 Typical High $426.58 | Facility | None | $45.71 | $97.72 | $426.58 |
Sentara Setting Professional Modifier None (both parts) Typical Low $51.29 Median $107.15 Typical High $223.87 | Professional | None (both parts) | $51.29 | $107.15 | $223.87 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $67.61 Typical High $100.00 | Professional | 26 · Professional part | $51.29 | $67.61 | $100.00 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $81.28 Typical High $151.36 | Professional | TC · Technical part | $46.77 | $81.28 | $151.36 |
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 $74.13 Median $125.89 Typical High $234.42 | Professional | None (both parts) | $74.13 | $125.89 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $41.69 | $61.66 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $66.07 Typical High $131.83 | Professional | TC · Technical part | $28.18 | $66.07 | $131.83 |
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 $56.23 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $56.23 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $22.39 | $25.70 | $25.70 |
Where Virginia sits
The same service costs 3.9 times more in Alaska 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· 28th of 51
$120
AK $282TX $72.44
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.