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 None Typical Low $229.09 Median $346.74 Typical High $489.78 | Facility | None | $229.09 | $346.74 | $489.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $67.61 Median $117.49 Typical High $154.88 | Facility | 26 · Professional part | $67.61 | $117.49 | $154.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $199.53 Typical High $426.58 | Facility | TC · Technical part | $190.55 | $199.53 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $263.03 Typical High $575.44 | Professional | None (both parts) | $229.09 | $263.03 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $74.13 Typical High $181.97 | Professional | 26 · Professional part | $67.61 | $74.13 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $194.98 Typical High $407.38 | Professional | TC · Technical part | $154.88 | $194.98 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,819.70 | Facility | None | $1,122.02 | $1,412.54 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $269.15 Typical High $426.58 | Professional | None (both parts) | $245.47 | $269.15 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $79.43 | $91.20 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $181.97 Typical High $295.12 | Professional | TC · Technical part | $165.96 | $181.97 | $295.12 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $67.61 Median $213.80 Typical High $295.12 | Professional | None (both parts) | $67.61 | $213.80 | $295.12 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | 26 · Professional part | $75.86 | $75.86 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $398.11 Typical High $630.96 | Facility | None | $208.93 | $398.11 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $489.78 | Professional | None (both parts) | $112.20 | $154.88 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $199.53 | Professional | 26 · Professional part | $35.48 | $44.67 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $107.15 Typical High $346.74 | Professional | TC · Technical part | $72.44 | $107.15 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $398.11 | Professional | None | $302.00 | $323.59 | $398.11 |
Medcost Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $489.78 | Facility | None | $295.12 | $295.12 | $489.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $257.04 | Professional | None (both parts) | $77.62 | $77.62 | $257.04 |
Sentara Setting Facility Modifier None Typical Low $93.33 Median $229.09 Typical High $912.01 | Facility | None | $93.33 | $229.09 | $912.01 |
Sentara Setting Professional Modifier None (both parts) Typical Low $120.23 Median $239.88 Typical High $537.03 | Professional | None (both parts) | $120.23 | $239.88 | $537.03 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $181.97 | Professional | 26 · Professional part | $85.11 | $102.33 | $181.97 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $281.84 Typical High $501.19 | Professional | TC · Technical part | $154.88 | $281.84 | $501.19 |
United Setting Facility Modifier None Typical Low $676.08 Median $741.31 Typical High $1,659.59 | Facility | None | $676.08 | $741.31 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $281.84 Typical High $549.54 | Professional | None (both parts) | $128.82 | $281.84 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $87.10 Typical High $173.78 | Professional | 26 · Professional part | $51.29 | $87.10 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $190.55 Typical High $371.54 | Professional | TC · Technical part | $72.44 | $190.55 | $371.54 |
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 $114.82 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $114.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $45.71 | $52.48 | $52.48 |
Where Virginia sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 30th of 51
$269
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.