How much rates vary
Facilitymedian $145 · 10th to 90th $32 to $708Professionalmedian $182 · 10th to 90th $120 to $234
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 $138.04 Median $181.97 Typical High $338.84 | Facility | None | $138.04 | $181.97 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $181.97 | Professional | None (both parts) | $138.04 | $138.04 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $26.30 | $29.51 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $154.88 | Professional | TC · Technical part | $109.65 | $109.65 | $154.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $234.42 | Professional | None (both parts) | $158.49 | $190.55 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $36.31 | Professional | 26 · Professional part | $25.12 | $29.51 | $36.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $162.18 Typical High $194.98 | Professional | TC · Technical part | $134.90 | $162.18 | $194.98 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $26.30 Median $165.96 Typical High $186.21 | Professional | None (both parts) | $26.30 | $165.96 | $186.21 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $28.18 | Professional | 26 · Professional part | $23.44 | $23.44 | $28.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $177.83 | Professional | TC · Technical part | $158.49 | $158.49 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $389.05 | Facility | None | $223.87 | $363.08 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $288.40 | Professional | None (both parts) | $112.20 | $154.88 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $51.29 | Professional | 26 · Professional part | $23.99 | $31.62 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $128.82 Typical High $245.47 | Professional | TC · Technical part | $74.13 | $128.82 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $218.78 | Professional | None | $147.91 | $177.83 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $37.15 | Professional | 26 · Professional part | $25.70 | $30.20 | $37.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $181.97 | Professional | TC · Technical part | $123.03 | $147.91 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $165.96 Typical High $165.96 | Professional | None | $97.72 | $165.96 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $239.88 | Facility | None | $162.18 | $162.18 | $239.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $134.90 | Professional | None (both parts) | $109.65 | $131.83 | $134.90 |
Sentara Setting Facility Modifier None Typical Low $29.51 Median $125.89 Typical High $812.83 | Facility | None | $29.51 | $125.89 | $812.83 |
Sentara Setting Professional Modifier None (both parts) Typical Low $35.48 Median $158.49 Typical High $331.13 | Professional | None (both parts) | $35.48 | $158.49 | $331.13 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $37.15 Typical High $57.54 | Professional | 26 · Professional part | $25.12 | $37.15 | $57.54 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $173.78 Typical High $295.12 | Professional | TC · Technical part | $112.20 | $173.78 | $295.12 |
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 $89.13 Median $147.91 Typical High $269.15 | Professional | None (both parts) | $89.13 | $147.91 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.11 Typical High $56.23 | Professional | 26 · Professional part | $22.91 | $33.11 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $117.49 Typical High $218.78 | Professional | TC · Technical part | $63.10 | $117.49 | $218.78 |
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 $69.18 Median $69.18 Typical High $91.20 | Professional | 52 · Reduced service | $69.18 | $69.18 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $36.31 | Professional | 53 · Discontinued | $27.54 | $27.54 | $36.31 |
Where Virginia sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 25th of 51
$182
AK $347NM $120
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.