How much rates vary
Facilitymedian $89 · 10th to 90th $31 to $427Professionalmedian $107 · 10th to 90th $68 to $138
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 $93.33 Median $107.15 Typical High $199.53 | Facility | None | $93.33 | $107.15 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $107.15 | Professional | None (both parts) | $93.33 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $42.66 | Professional | 26 · Professional part | $32.36 | $37.15 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $74.13 | Professional | TC · Technical part | $56.23 | $56.23 | $74.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $138.04 | Professional | None (both parts) | $95.50 | $112.20 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $44.67 | Professional | 26 · Professional part | $30.90 | $36.31 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $93.33 | Professional | TC · Technical part | $64.57 | $75.86 | $93.33 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $31.62 Median $95.50 Typical High $107.15 | Professional | None (both parts) | $31.62 | $95.50 | $107.15 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $35.48 | Professional | 26 · Professional part | $28.18 | $28.18 | $35.48 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $67.61 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $186.21 | Facility | None | $87.10 | $100.00 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $100.00 Typical High $173.78 | Professional | None (both parts) | $69.18 | $100.00 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $38.02 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $66.07 Typical High $114.82 | Professional | TC · Technical part | $22.91 | $66.07 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $154.88 | Professional | None | $104.71 | $123.03 | $154.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $46.77 | Professional | 26 · Professional part | $31.62 | $37.15 | $46.77 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $107.15 | Professional | TC · Technical part | $70.79 | $85.11 | $107.15 |
Medcost Setting Professional Modifier None Typical Low $58.88 Median $74.13 Typical High $74.13 | Professional | None | $58.88 | $74.13 | $74.13 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $158.49 | Facility | None | $79.43 | $79.43 | $158.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $60.26 Median $81.28 Typical High $125.89 | Professional | None (both parts) | $60.26 | $81.28 | $125.89 |
Sentara Setting Facility Modifier None Typical Low $30.20 Median $81.28 Typical High $426.58 | Facility | None | $30.20 | $81.28 | $426.58 |
Sentara Setting Professional Modifier None (both parts) Typical Low $35.48 Median $79.43 Typical High $194.98 | Professional | None (both parts) | $35.48 | $79.43 | $194.98 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $44.67 Typical High $66.07 | Professional | 26 · Professional part | $29.51 | $44.67 | $66.07 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $72.44 Typical High $141.25 | Professional | TC · Technical part | $29.51 | $72.44 | $141.25 |
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 $46.77 Median $91.20 Typical High $173.78 | Professional | None (both parts) | $46.77 | $91.20 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $28.18 | $41.69 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $56.23 Typical High $112.20 | Professional | TC · Technical part | $18.20 | $56.23 | $112.20 |
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 $46.77 Median $46.77 Typical High $52.48 | Professional | 52 · Reduced service | $46.77 | $46.77 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $21.38 | Professional | 53 · Discontinued | $18.62 | $18.62 | $21.38 |
Where Virginia sits
The same service costs 3.5 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· 27th of 51
$107
AK $229KY $64.57
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.