How much rates vary
Facilitymedian $251 · 10th to 90th $110 to $708Professionalmedian $263 · 10th to 90th $195 to $372
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 $239.88 Median $323.59 Typical High $446.68 | Facility | None | $239.88 | $323.59 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $380.19 | Professional | None (both parts) | $239.88 | $281.84 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $169.82 Typical High $234.42 | Professional | 26 · Professional part | $144.54 | $169.82 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $107.15 Typical High $147.91 | Professional | TC · Technical part | $95.50 | $107.15 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $269.15 Typical High $323.59 | Professional | None (both parts) | $223.87 | $269.15 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $165.96 Typical High $204.17 | Professional | 26 · Professional part | $138.04 | $165.96 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $123.03 | Professional | TC · Technical part | $85.11 | $100.00 | $123.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $100.00 Median $199.53 Typical High $245.47 | Professional | None (both parts) | $100.00 | $199.53 | $245.47 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $169.82 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $112.20 | Professional | TC · Technical part | $91.20 | $91.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $616.60 Typical High $1,348.96 | Facility | None | $398.11 | $616.60 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $223.87 | $288.40 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $177.83 Typical High $295.12 | Professional | 26 · Professional part | $138.04 | $177.83 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $186.21 | Professional | TC · Technical part | $85.11 | $112.20 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $363.08 | Professional | None | $245.47 | $288.40 | $363.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $173.78 Typical High $218.78 | Professional | 26 · Professional part | $147.91 | $173.78 | $218.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $141.25 | Professional | TC · Technical part | $95.50 | $114.82 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Medcost Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $478.63 | Facility | None | $354.81 | $354.81 | $478.63 |
Medcost Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $190.55 | $190.55 | $295.12 |
Sentara Setting Facility Modifier None Typical Low $107.15 Median $223.87 Typical High $724.44 | Facility | None | $107.15 | $223.87 | $724.44 |
Sentara Setting Professional Modifier None (both parts) Typical Low $123.03 Median $295.12 Typical High $489.78 | Professional | None (both parts) | $123.03 | $295.12 | $489.78 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $199.53 Typical High $302.00 | Professional | 26 · Professional part | $154.88 | $199.53 | $302.00 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $190.55 | Professional | TC · Technical part | $102.33 | $128.82 | $190.55 |
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 $213.80 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $213.80 | $331.13 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $190.55 Typical High $323.59 | Professional | 26 · Professional part | $131.83 | $190.55 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $134.90 Typical High $208.93 | Professional | TC · Technical part | $89.13 | $134.90 | $208.93 |
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 $120.23 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $120.23 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $47.86 | $56.23 | $56.23 |
Where Virginia sits
The same service costs 3.3 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
$263
AK $589TX $178
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.