How much rates vary
Facilitymedian $141 · 10th to 90th $60 to $407Professionalmedian $158 · 10th to 90th $91 to $209
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 $147.91 Median $147.91 Typical High $158.49 | Facility | None | $147.91 | $147.91 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $144.54 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $81.28 | $95.50 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $63.10 Typical High $67.61 | Professional | TC · Technical part | $61.66 | $63.10 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $199.53 | Professional | None (both parts) | $123.03 | $162.18 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $112.20 | Professional | 26 · Professional part | $77.62 | $91.20 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $87.10 | Professional | TC · Technical part | $60.26 | $70.79 | $87.10 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $66.07 Median $109.65 Typical High $144.54 | Professional | None (both parts) | $66.07 | $109.65 | $144.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $91.20 | Professional | 26 · Professional part | $70.79 | $70.79 | $91.20 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $77.62 | Professional | TC · Technical part | $58.88 | $58.88 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $363.08 Typical High $776.25 | Facility | None | $123.03 | $363.08 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $134.90 | $165.96 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $97.72 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $69.18 Typical High $114.82 | Professional | TC · Technical part | $60.26 | $69.18 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $218.78 | Professional | None | $147.91 | $173.78 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $120.23 | Professional | 26 · Professional part | $81.28 | $95.50 | $120.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $97.72 | Professional | TC · Technical part | $66.07 | $79.43 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $275.42 | Facility | None | $199.53 | $199.53 | $275.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $117.49 | $117.49 | $169.82 |
Sentara Setting Facility Modifier None Typical Low $60.26 Median $125.89 Typical High $398.11 | Facility | None | $60.26 | $125.89 | $398.11 |
Sentara Setting Professional Modifier None (both parts) Typical Low $74.13 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $74.13 | $165.96 | $281.84 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $165.96 | Professional | 26 · Professional part | $87.10 | $112.20 | $165.96 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $128.82 | Professional | TC · Technical part | $63.10 | $79.43 | $128.82 |
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 $123.03 Median $186.21 Typical High $302.00 | Professional | None (both parts) | $123.03 | $186.21 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $107.15 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $107.15 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $79.43 Typical High $125.89 | Professional | TC · Technical part | $51.29 | $79.43 | $125.89 |
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 $74.13 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $74.13 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $29.51 | $31.62 | $31.62 |
Where Virginia sits
The same service costs 3.6 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
$158
AK $380TX $105
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.