How much rates vary
Facilitymedian $85 · 10th to 90th $21 to $398Professionalmedian $72 · 10th to 90th $60 to $123
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 $67.61 Median $89.13 Typical High $204.17 | Facility | None | $67.61 | $89.13 | $204.17 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $16.98 Median $25.12 Typical High $33.11 | Facility | 26 · Professional part | $16.98 | $25.12 | $33.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $50.12 Median $64.57 Typical High $177.83 | Facility | TC · Technical part | $50.12 | $64.57 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $72.44 Typical High $131.83 | Professional | None (both parts) | $67.61 | $72.44 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.42 Typical High $23.44 | Professional | 26 · Professional part | $16.98 | $20.42 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $52.48 Typical High $114.82 | Professional | TC · Technical part | $50.12 | $52.48 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $72.44 Typical High $89.13 | Professional | None (both parts) | $61.66 | $72.44 | $89.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.50 Typical High $23.99 | Professional | 26 · Professional part | $16.60 | $19.50 | $23.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $53.70 Typical High $64.57 | Professional | TC · Technical part | $44.67 | $53.70 | $64.57 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $60.26 Median $72.44 Typical High $81.28 | Professional | None (both parts) | $60.26 | $72.44 | $81.28 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $18.62 | $20.89 | $20.89 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $69.18 | Professional | TC · Technical part | $53.70 | $53.70 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $363.08 Typical High $371.54 | Facility | None | $123.03 | $363.08 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $85.11 Typical High $169.82 | Professional | None (both parts) | $63.10 | $85.11 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $20.42 Typical High $33.88 | Professional | 26 · Professional part | $16.22 | $20.42 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $63.10 Typical High $131.83 | Professional | TC · Technical part | $46.77 | $63.10 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $97.72 | Professional | None | $66.07 | $77.62 | $97.72 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.95 Typical High $24.55 | Professional | 26 · Professional part | $16.98 | $19.95 | $24.55 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $72.44 | Professional | TC · Technical part | $48.98 | $58.88 | $72.44 |
Medcost Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $141.25 | Professional | None | $100.00 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $144.54 Typical High $144.54 | Facility | None | $123.03 | $144.54 | $144.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $114.82 | Professional | None (both parts) | $50.12 | $50.12 | $114.82 |
Sentara Setting Facility Modifier None Typical Low $19.95 Median $75.86 Typical High $645.65 | Facility | None | $19.95 | $75.86 | $645.65 |
Sentara Setting Professional Modifier None (both parts) Typical Low $24.55 Median $104.71 Typical High $199.53 | Professional | None (both parts) | $24.55 | $104.71 | $199.53 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $39.81 | Professional | 26 · Professional part | $18.62 | $24.55 | $39.81 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $109.65 Typical High $177.83 | Professional | TC · Technical part | $54.95 | $109.65 | $177.83 |
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 $54.95 Median $93.33 Typical High $181.97 | Professional | None (both parts) | $54.95 | $93.33 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $21.88 Typical High $36.31 | Professional | 26 · Professional part | $14.79 | $21.88 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $74.13 Typical High $147.91 | Professional | TC · Technical part | $42.66 | $74.13 | $147.91 |
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 $33.11 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $33.11 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $13.49 | $14.45 | $14.45 |
Where Virginia sits
The same service costs 3.2 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· 42nd of 51
$72.44
AK $162TX $51.29
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.