How much rates vary
Facilitymedian $135 · 10th to 90th $30 to $468Professionalmedian $182 · 10th to 90th $135 to $240
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 $141.25 Median $141.25 Typical High $169.82 | Facility | None | $141.25 | $141.25 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $169.82 | Professional | None (both parts) | $141.25 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $25.12 | $29.51 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $144.54 | Professional | TC · Technical part | $109.65 | $109.65 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $199.53 Typical High $239.88 | Professional | None (both parts) | $165.96 | $199.53 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $35.48 | Professional | 26 · Professional part | $24.55 | $28.84 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $173.78 Typical High $223.87 | Professional | TC · Technical part | $141.25 | $173.78 | $223.87 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $181.97 | Professional | None (both parts) | $147.91 | $165.96 | $181.97 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $21.38 | $23.99 | $23.99 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $125.89 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $363.08 Typical High $380.19 | Facility | None | $123.03 | $363.08 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $177.83 Typical High $275.42 | Professional | None (both parts) | $112.20 | $177.83 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $50.12 | Professional | 26 · Professional part | $23.99 | $30.90 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $72.44 | $151.36 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $245.47 | Professional | None | $165.96 | $199.53 | $245.47 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $37.15 | Professional | 26 · Professional part | $25.12 | $29.51 | $37.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $208.93 | Professional | TC · Technical part | $141.25 | $169.82 | $208.93 |
Medcost Setting Professional Modifier None Typical Low $100.00 Median $162.18 Typical High $162.18 | Professional | None | $100.00 | $162.18 | $162.18 |
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 $112.20 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $112.20 | $125.89 | $125.89 |
Sentara Setting Facility Modifier None Typical Low $30.20 Median $117.49 Typical High $467.74 | Facility | None | $30.20 | $117.49 | $467.74 |
Sentara Setting Professional Modifier None (both parts) Typical Low $34.67 Median $147.91 Typical High $295.12 | Professional | None (both parts) | $34.67 | $147.91 | $295.12 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $36.31 | $56.23 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $177.83 Typical High $257.04 | Professional | TC · Technical part | $112.20 | $177.83 | $257.04 |
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 $144.54 Typical High $263.03 | Professional | None (both parts) | $89.13 | $144.54 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $33.11 Typical High $54.95 | Professional | 26 · Professional part | $21.88 | $33.11 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $117.49 Typical High $208.93 | Professional | TC · Technical part | $63.10 | $117.49 | $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 $69.18 Median $69.18 Typical High $85.11 | Professional | 52 · Reduced service | $69.18 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $33.88 | Professional | 53 · Discontinued | $28.18 | $28.18 | $33.88 |
Where Virginia sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 22nd of 51
$182
AK $324KY $115
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.