How much rates vary
Facilitymedian $115 · 10th to 90th $50 to $347Professionalmedian $120 · 10th to 90th $85 to $170
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 $109.65 Median $151.36 Typical High $204.17 | Facility | None | $109.65 | $151.36 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $181.97 | Professional | None (both parts) | $109.65 | $131.83 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $100.00 | Professional | 26 · Professional part | $60.26 | $72.44 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $58.88 Typical High $75.86 | Professional | TC · Technical part | $47.86 | $58.88 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $147.91 | Professional | None (both parts) | $93.33 | $120.23 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $89.13 | Professional | 26 · Professional part | $60.26 | $72.44 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $51.29 Typical High $61.66 | Professional | TC · Technical part | $42.66 | $51.29 | $61.66 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $53.70 Median $97.72 Typical High $109.65 | Professional | None (both parts) | $53.70 | $97.72 | $109.65 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $69.18 | Professional | 26 · Professional part | $60.26 | $60.26 | $69.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $44.67 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $776.25 | Facility | None | $223.87 | $363.08 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $102.33 | $131.83 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $123.03 | Professional | 26 · Professional part | $57.54 | $74.13 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $56.23 Typical High $95.50 | Professional | TC · Technical part | $44.67 | $56.23 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $169.82 | Professional | None | $114.82 | $134.90 | $169.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $93.33 | Professional | 26 · Professional part | $63.10 | $74.13 | $93.33 |
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 $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Medcost Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $223.87 | Facility | None | $158.49 | $158.49 | $223.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $131.83 | Professional | None (both parts) | $87.10 | $87.10 | $131.83 |
Sentara Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $316.23 | Facility | None | $50.12 | $100.00 | $316.23 |
Sentara Setting Professional Modifier None (both parts) Typical Low $60.26 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $60.26 | $131.83 | $223.87 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $85.11 | $128.82 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $100.00 | Professional | TC · Technical part | $50.12 | $63.10 | $100.00 |
United Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $1,000.00 | Facility | None | $407.38 | $446.68 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $97.72 | $151.36 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $81.28 Typical High $134.90 | Professional | 26 · Professional part | $54.95 | $81.28 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $67.61 Typical High $109.65 | Professional | TC · Technical part | $43.65 | $67.61 | $109.65 |
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 $54.95 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $54.95 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $21.88 | $26.30 | $26.30 |
Where Virginia sits
The same service costs 3.8 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· 38th of 51
$120
AK $275UT $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.