How much rates vary
Facilitymedian $138 · 10th to 90th $63 to $372Professionalmedian $141 · 10th to 90th $79 to $200
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 $131.83 Median $194.98 Typical High $251.19 | Facility | None | $131.83 | $194.98 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $131.83 | $158.49 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $120.23 | Professional | 26 · Professional part | $72.44 | $87.10 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $70.79 Typical High $91.20 | Professional | TC · Technical part | $57.54 | $70.79 | $91.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $83.18 | $144.54 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $83.18 Typical High $102.33 | Professional | 26 · Professional part | $69.18 | $83.18 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $61.66 Typical High $74.13 | Professional | TC · Technical part | $51.29 | $61.66 | $74.13 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $60.26 Median $83.18 Typical High $131.83 | Professional | None (both parts) | $60.26 | $83.18 | $131.83 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $85.11 | Professional | 26 · Professional part | $64.57 | $64.57 | $85.11 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | TC · Technical part | $53.70 | $53.70 | $61.66 |
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 $123.03 Median $158.49 Typical High $263.03 | Professional | None (both parts) | $123.03 | $158.49 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $144.54 | Professional | 26 · Professional part | $69.18 | $89.13 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $114.82 | Professional | TC · Technical part | $53.70 | $69.18 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $199.53 | Professional | None | $138.04 | $162.18 | $199.53 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $109.65 | Professional | 26 · Professional part | $75.86 | $89.13 | $109.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $91.20 | Professional | TC · Technical part | $60.26 | $72.44 | $91.20 |
Medcost Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $269.15 | Facility | None | $190.55 | $190.55 | $269.15 |
Medcost Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $158.49 | Professional | None (both parts) | $104.71 | $104.71 | $158.49 |
Sentara Setting Facility Modifier None Typical Low $60.26 Median $120.23 Typical High $371.54 | Facility | None | $60.26 | $120.23 | $371.54 |
Sentara Setting Professional Modifier None (both parts) Typical Low $72.44 Median $158.49 Typical High $269.15 | Professional | None (both parts) | $72.44 | $158.49 | $269.15 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $77.62 | $102.33 | $154.88 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $120.23 | Professional | TC · Technical part | $60.26 | $77.62 | $120.23 |
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 $117.49 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $117.49 | $181.97 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $97.72 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $97.72 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $81.28 Typical High $131.83 | Professional | TC · Technical part | $52.48 | $81.28 | $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 $66.07 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $66.07 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $26.30 | $31.62 | $31.62 |
Where Virginia sits
The same service costs 4.0 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· 39th of 51
$141
AK $339TX $85.11
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.