How much rates vary
Facilitymedian $490 · 10th to 90th $112 to $3,020Professionalmedian $339 · 10th to 90th $245 to $550
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 $346.74 Median $4,073.80 Typical High $10,000.00 | Facility | None | $346.74 | $4,073.80 | $10,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $346.74 Typical High $1,288.25 | Professional | None (both parts) | $309.03 | $346.74 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $89.13 | $97.72 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $436.52 | Professional | TC · Technical part | $213.80 | $257.04 | $436.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $426.58 | Professional | None (both parts) | $281.84 | $338.84 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $93.33 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $309.03 | Professional | TC · Technical part | $204.17 | $245.47 | $309.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $436.52 | Professional | None (both parts) | $213.80 | $281.84 | $436.52 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $93.33 Typical High $109.65 | Professional | 26 · Professional part | $83.18 | $93.33 | $109.65 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $309.03 | Professional | TC · Technical part | $234.42 | $234.42 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $323.59 Typical High $1,621.81 | Facility | None | $141.25 | $323.59 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $346.74 Typical High $512.86 | Professional | None (both parts) | $269.15 | $346.74 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $151.36 | Professional | 26 · Professional part | $81.28 | $100.00 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $190.55 | $251.19 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $316.23 Typical High $398.11 | Professional | None | $263.03 | $316.23 | $398.11 |
Medcost Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $537.03 | Professional | None | $426.58 | $537.03 | $537.03 |
Medcost Setting Facility Modifier None Typical Low $309.03 Median $457.09 Typical High $512.86 | Facility | None | $309.03 | $457.09 | $512.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
Sentara Setting Facility Modifier None Typical Low $100.00 Median $338.84 Typical High $1,778.28 | Facility | None | $100.00 | $338.84 | $1,778.28 |
Sentara Setting Professional Modifier None (both parts) Typical Low $109.65 Median $331.13 Typical High $724.44 | Professional | None (both parts) | $109.65 | $331.13 | $724.44 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $114.82 Typical High $194.98 | Professional | 26 · Professional part | $87.10 | $114.82 | $194.98 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $269.15 Typical High $524.81 | Professional | TC · Technical part | $213.80 | $269.15 | $524.81 |
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 $239.88 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $239.88 | $389.05 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $69.18 | $114.82 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $281.84 Typical High $436.52 | Professional | TC · Technical part | $165.96 | $281.84 | $436.52 |
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 $154.88 Median $154.88 Typical High $173.78 | Professional | 52 · Reduced service | $154.88 | $154.88 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $69.18 | Professional | 53 · Discontinued | $61.66 | $61.66 | $69.18 |
Where Virginia sits
The same service costs 4.8 times more in Alaska 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· 36th of 51
$347
AK $1,000UT $209
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.