How much rates vary
Facilitymedian $76 · 10th to 90th $35 to $234Professionalmedian $89 · 10th to 90th $50 to $117
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 $87.10 Median $87.10 Typical High $89.13 | Facility | None | $87.10 | $87.10 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $89.13 Typical High $100.00 | Professional | None (both parts) | $85.11 | $89.13 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $51.29 | Professional | 26 · Professional part | $41.69 | $48.98 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $48.98 | Professional | TC · Technical part | $39.81 | $39.81 | $48.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $93.33 Typical High $114.82 | Professional | None (both parts) | $50.12 | $93.33 | $114.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $38.90 | $46.77 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $60.26 | Professional | TC · Technical part | $40.74 | $47.86 | $60.26 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $57.54 Median $83.18 Typical High $87.10 | Professional | None (both parts) | $57.54 | $83.18 | $87.10 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $36.31 | $40.74 | $40.74 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $40.74 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $109.65 Typical High $186.21 | Facility | None | $95.50 | $109.65 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $158.49 | Professional | None (both parts) | $75.86 | $87.10 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $81.28 | Professional | 26 · Professional part | $38.90 | $50.12 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $43.65 Typical High $77.62 | Professional | TC · Technical part | $26.30 | $43.65 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $128.82 | Professional | None | $87.10 | $102.33 | $128.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $60.26 | Professional | 26 · Professional part | $40.74 | $47.86 | $60.26 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $67.61 | Professional | TC · Technical part | $45.71 | $53.70 | $67.61 |
Medcost Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $93.33 | Professional | None | $72.44 | $89.13 | $93.33 |
Medcost Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $151.36 | Facility | None | $102.33 | $102.33 | $151.36 |
Medcost Setting Professional Modifier None (both parts) Typical Low $53.70 Median $67.61 Typical High $77.62 | Professional | None (both parts) | $53.70 | $67.61 | $77.62 |
Sentara Setting Facility Modifier None Typical Low $31.62 Median $72.44 Typical High $218.78 | Facility | None | $31.62 | $72.44 | $218.78 |
Sentara Setting Professional Modifier None (both parts) Typical Low $41.69 Median $85.11 Typical High $162.18 | Professional | None (both parts) | $41.69 | $85.11 | $162.18 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $60.26 Typical High $87.10 | Professional | 26 · Professional part | $38.90 | $60.26 | $87.10 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $57.54 Typical High $95.50 | Professional | TC · Technical part | $35.48 | $57.54 | $95.50 |
United Setting Facility Modifier None Typical Low $245.47 Median $269.15 Typical High $602.56 | Facility | None | $245.47 | $269.15 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $89.13 Typical High $165.96 | Professional | None (both parts) | $60.26 | $89.13 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $91.20 | Professional | 26 · Professional part | $37.15 | $53.70 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $40.74 Typical High $77.62 | Professional | TC · Technical part | $22.39 | $40.74 | $77.62 |
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 $42.66 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $42.66 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $17.38 | $17.78 | $17.78 |
Where Virginia sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 30th of 51
$89.13
AK $219AL $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.