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 $851.14 Median $891.25 Typical High $1,698.24 | Facility | None | $851.14 | $891.25 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $851.14 Typical High $891.25 | Professional | None (both parts) | $794.33 | $851.14 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $56.23 | Professional | 26 · Professional part | $41.69 | $51.29 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $794.33 Typical High $851.14 | Professional | TC · Technical part | $741.31 | $794.33 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $794.33 Median $977.24 Typical High $1,230.27 | Professional | None (both parts) | $794.33 | $977.24 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $63.10 | Professional | 26 · Professional part | $41.69 | $50.12 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $933.25 Typical High $1,174.90 | Professional | TC · Technical part | $758.58 | $933.25 | $1,174.90 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $47.86 Median $851.14 Typical High $1,071.52 | Professional | None (both parts) | $47.86 | $851.14 | $1,071.52 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $42.66 | $42.66 | $56.23 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $912.01 Typical High $1,023.29 | Professional | TC · Technical part | $812.83 | $912.01 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,698.24 Typical High $1,995.26 | Facility | None | $676.08 | $1,698.24 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $891.25 Typical High $1,479.11 | Professional | None (both parts) | $776.25 | $891.25 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $91.20 | Professional | 26 · Professional part | $43.65 | $54.95 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $851.14 Typical High $1,412.54 | Professional | TC · Technical part | $707.95 | $851.14 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,412.54 | Professional | None | $933.25 | $1,122.02 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $66.07 | Professional | 26 · Professional part | $46.77 | $52.48 | $66.07 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,071.52 Typical High $1,348.96 | Professional | TC · Technical part | $891.25 | $1,071.52 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,122.02 | Professional | None | $891.25 | $1,122.02 | $1,122.02 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $67.61 | $85.11 | $85.11 |
Medcost Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,445.44 | Facility | None | $954.99 | $954.99 | $1,445.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $575.44 Median $660.69 Typical High $691.83 | Professional | None (both parts) | $575.44 | $660.69 | $691.83 |
Sentara Setting Facility Modifier None Typical Low $60.26 Median $851.14 Typical High $3,630.78 | Facility | None | $60.26 | $851.14 | $3,630.78 |
Sentara Setting Professional Modifier None (both parts) Typical Low $64.57 Median $870.96 Typical High $1,862.09 | Professional | None (both parts) | $64.57 | $870.96 | $1,862.09 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $66.07 | $107.15 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $870.96 Typical High $1,548.82 | Professional | TC · Technical part | $758.58 | $870.96 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $3,548.13 Typical High $6,165.95 | Facility | None | $1,819.70 | $3,548.13 | $6,165.95 |
United Setting Professional Modifier None (both parts) Typical Low $616.60 Median $977.24 Typical High $1,621.81 | Professional | None (both parts) | $616.60 | $977.24 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $63.10 Typical High $102.33 | Professional | 26 · Professional part | $42.66 | $63.10 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $912.01 Typical High $1,513.56 | Professional | TC · Technical part | $575.44 | $912.01 | $1,513.56 |
1 more rate 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $831.76 Median $1,047.13 Typical High $1,047.13 | Professional | 27 · Multiple hospital visits | $831.76 | $1,047.13 | $1,047.13 |
Where Virginia sits
The same service costs 3.1 times more in Alaska than in New York. 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· 27th of 51
$933
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.