How much rates vary
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 TC · Technical part Typical Low $95.50 Median $100.00 Typical High $371.54 | Facility | TC · Technical part | $95.50 | $100.00 | $371.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $100.00 | Professional | TC · Technical part | $83.18 | $95.50 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $331.13 Typical High $416.87 | Professional | 26 · Professional part | $281.84 | $331.13 | $416.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $100.00 | Professional | TC · Technical part | $67.61 | $79.43 | $100.00 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $89.13 | Professional | TC · Technical part | $75.86 | $83.18 | $89.13 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $91.20 | $100.00 | $147.91 |
10 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 None (both parts) Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None (both parts) | $3,019.95 | $3,019.95 | $3,019.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $331.13 Typical High $436.52 | Professional | None (both parts) | $275.42 | $331.13 | $436.52 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $91.20 Median $93.33 Typical High $107.15 | Professional | None (both parts) | $91.20 | $93.33 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $208.93 Typical High $549.54 | Facility | None | $165.96 | $208.93 | $549.54 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
Sentara Setting Facility Modifier None Typical Low $77.62 Median $120.23 Typical High $10,232.93 | Facility | None | $77.62 | $120.23 | $10,232.93 |
Sentara Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $218.78 | Professional | None (both parts) | $85.11 | $104.71 | $218.78 |
United Setting Facility Modifier None Typical Low $165.96 Median $181.97 Typical High $407.38 | Facility | None | $165.96 | $181.97 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $186.21 | Professional | None (both parts) | $72.44 | $85.11 | $186.21 |
Where Virginia sits
The same service costs 61.7 times more in Delaware than in California. 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
$117
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.