How much rates vary
Facilitymedian $372 · 10th to 90th $74 to $3,802Professionalmedian $204 · 10th to 90th $141 to $339
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 $223.87 Median $4,365.16 Typical High $14,125.38 | Facility | None | $223.87 | $4,365.16 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $213.80 Typical High $489.78 | Professional | None (both parts) | $154.88 | $213.80 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $45.71 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $309.03 | Professional | TC · Technical part | $109.65 | $144.54 | $309.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $213.80 Typical High $269.15 | Professional | None (both parts) | $177.83 | $213.80 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $36.31 | $43.65 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $213.80 | Professional | TC · Technical part | $141.25 | $169.82 | $213.80 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $177.83 Median $199.53 Typical High $263.03 | Professional | None (both parts) | $177.83 | $199.53 | $263.03 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $51.29 | Professional | 26 · Professional part | $38.90 | $43.65 | $51.29 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $154.88 Typical High $173.78 | Professional | TC · Technical part | $138.04 | $154.88 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $1,174.90 Typical High $2,691.53 | Facility | None | $50.12 | $1,174.90 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $363.08 | Professional | None (both parts) | $144.54 | $181.97 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $109.65 | Professional | 26 · Professional part | $38.02 | $47.86 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $141.25 Typical High $257.04 | Professional | TC · Technical part | $104.71 | $141.25 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $181.97 Typical High $223.87 | Professional | None | $151.36 | $181.97 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $436.52 | Professional | None | $346.74 | $436.52 | $436.52 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $251.19 | Facility | None | $154.88 | $213.80 | $251.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Sentara Setting Facility Modifier None Typical Low $52.48 Median $190.55 Typical High $1,174.90 | Facility | None | $52.48 | $190.55 | $1,174.90 |
Sentara Setting Professional Modifier None (both parts) Typical Low $53.70 Median $181.97 Typical High $467.74 | Professional | None (both parts) | $53.70 | $181.97 | $467.74 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $95.50 | Professional | 26 · Professional part | $42.66 | $56.23 | $95.50 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $173.78 Typical High $380.19 | Professional | TC · Technical part | $89.13 | $173.78 | $380.19 |
United Setting Facility Modifier None Typical Low $100.00 Median $660.69 Typical High $2,089.30 | Facility | None | $100.00 | $660.69 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $204.17 Typical High $389.05 | Professional | None (both parts) | $131.83 | $204.17 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $33.11 | $58.88 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $151.36 Typical High $288.40 | Professional | TC · Technical part | $97.72 | $151.36 | $288.40 |
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 $77.62 Median $77.62 Typical High $112.20 | Professional | 52 · Reduced service | $77.62 | $77.62 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $44.67 | Professional | 53 · Discontinued | $30.90 | $30.90 | $44.67 |
Where Virginia sits
The same service costs 5.6 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· 28th of 51
$214
AK $759TX $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.