How much rates vary
Facilitymedian $372 · 10th to 90th $100 to $3,020Professionalmedian $257 · 10th to 90th $191 to $398
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 $263.03 Median $4,365.16 Typical High $14,125.38 | Facility | None | $263.03 | $4,365.16 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $263.03 Typical High $1,288.25 | Professional | None (both parts) | $223.87 | $263.03 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $85.11 Typical High $134.90 | Professional | 26 · Professional part | $79.43 | $85.11 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $165.96 Typical High $229.09 | Professional | TC · Technical part | $138.04 | $165.96 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $323.59 | Professional | None (both parts) | $213.80 | $257.04 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $83.18 Typical High $107.15 | Professional | 26 · Professional part | $69.18 | $83.18 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $223.87 | Professional | TC · Technical part | $144.54 | $169.82 | $223.87 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $181.97 Median $245.47 Typical High $380.19 | Professional | None (both parts) | $181.97 | $245.47 | $380.19 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $83.18 Typical High $104.71 | Professional | 26 · Professional part | $75.86 | $83.18 | $104.71 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $162.18 Typical High $208.93 | Professional | TC · Technical part | $144.54 | $162.18 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $323.59 Typical High $1,621.81 | Facility | None | $125.89 | $323.59 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $389.05 | Professional | None (both parts) | $204.17 | $257.04 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $138.04 | Professional | 26 · Professional part | $72.44 | $89.13 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $257.04 | Professional | TC · Technical part | $128.82 | $165.96 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $234.42 Typical High $288.40 | Professional | None | $194.98 | $234.42 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $331.13 Median $416.87 Typical High $416.87 | Professional | None | $331.13 | $416.87 | $416.87 |
Medcost Setting Facility Modifier None Typical Low $223.87 Median $316.23 Typical High $363.08 | Facility | None | $223.87 | $316.23 | $363.08 |
Medcost Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Sentara Setting Facility Modifier None Typical Low $87.10 Median $251.19 Typical High $1,174.90 | Facility | None | $87.10 | $251.19 | $1,174.90 |
Sentara Setting Professional Modifier None (both parts) Typical Low $95.50 Median $234.42 Typical High $549.54 | Professional | None (both parts) | $95.50 | $234.42 | $549.54 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $102.33 Typical High $173.78 | Professional | 26 · Professional part | $77.62 | $102.33 | $173.78 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $181.97 Typical High $371.54 | Professional | TC · Technical part | $125.89 | $181.97 | $371.54 |
United Setting Facility Modifier None Typical Low $100.00 Median $660.69 Typical High $2,041.74 | Facility | None | $100.00 | $660.69 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $173.78 | $281.84 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $63.10 | $102.33 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $181.97 Typical High $302.00 | Professional | TC · Technical part | $112.20 | $181.97 | $302.00 |
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 $112.20 Median $112.20 Typical High $128.82 | Professional | 52 · Reduced service | $112.20 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $52.48 | Professional | 53 · Discontinued | $44.67 | $44.67 | $52.48 |
Where Virginia sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 34th of 51
$257
WI $708UT $135
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.