How much rates vary
Facilitymedian $76 · 10th to 90th $36 to $204Professionalmedian $87 · 10th to 90th $50 to $115
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 $83.18 Median $87.10 Typical High $87.10 | Facility | None | $83.18 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $87.10 Typical High $100.00 | Professional | None (both parts) | $83.18 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $45.71 | Professional | 26 · Professional part | $34.67 | $40.74 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $57.54 | Professional | TC · Technical part | $46.77 | $46.77 | $57.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $89.13 Typical High $109.65 | Professional | None (both parts) | $66.07 | $89.13 | $109.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $47.86 | Professional | 26 · Professional part | $33.11 | $38.90 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $61.66 | Professional | TC · Technical part | $42.66 | $50.12 | $61.66 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $30.90 Median $50.12 Typical High $85.11 | Professional | None (both parts) | $30.90 | $50.12 | $85.11 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $48.98 | Professional | 26 · Professional part | $33.88 | $39.81 | $48.98 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $70.79 | Professional | TC · Technical part | $48.98 | $58.88 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $97.72 Typical High $112.20 | Facility | None | $44.67 | $97.72 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $154.88 | Professional | None (both parts) | $75.86 | $91.20 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $32.36 | $41.69 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $50.12 Typical High $85.11 | Professional | TC · Technical part | $43.65 | $50.12 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $125.89 | Professional | None | $85.11 | $100.00 | $125.89 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $34.67 | $40.74 | $51.29 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $75.86 | Professional | TC · Technical part | $50.12 | $60.26 | $75.86 |
Medcost Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $147.91 | Facility | None | $109.65 | $109.65 | $147.91 |
Medcost Setting Professional Modifier None (both parts) Typical Low $45.71 Median $64.57 Typical High $89.13 | Professional | None (both parts) | $45.71 | $64.57 | $89.13 |
Sentara Setting Facility Modifier None Typical Low $36.31 Median $72.44 Typical High $218.78 | Facility | None | $36.31 | $72.44 | $218.78 |
Sentara Setting Professional Modifier None (both parts) Typical Low $42.66 Median $87.10 Typical High $158.49 | Professional | None (both parts) | $42.66 | $87.10 | $158.49 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $36.31 | $47.86 | $72.44 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $56.23 Typical High $93.33 | Professional | TC · Technical part | $45.71 | $56.23 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $102.33 Typical High $165.96 | Professional | None (both parts) | $69.18 | $102.33 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $30.90 | $45.71 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $57.54 Typical High $91.20 | Professional | TC · Technical part | $37.15 | $57.54 | $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 $41.69 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $41.69 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $16.60 | $17.38 | $17.38 |
Where Virginia sits
The same service costs 3.0 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· 36th of 51
$87.10
AK $204TX $67.61
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.