How much rates vary
Facilitymedian $398 · 10th to 90th $112 to $3,981Professionalmedian $200 · 10th to 90th $102 to $468
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 $15,488.17 | Facility | None | $263.03 | $4,365.16 | $15,488.17 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $87.10 Median $147.91 Typical High $173.78 | Facility | 26 · Professional part | $87.10 | $147.91 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $309.03 Typical High $588.84 | Professional | None (both parts) | $263.03 | $309.03 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $109.65 Typical High $173.78 | Professional | 26 · Professional part | $87.10 | $109.65 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $199.53 Typical High $323.59 | Professional | TC · Technical part | $177.83 | $199.53 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $144.54 | Professional | None (both parts) | $95.50 | $114.82 | $144.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $162.18 Median $251.19 Typical High $331.13 | Professional | None (both parts) | $162.18 | $251.19 | $331.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $97.72 Typical High $120.23 | Professional | 26 · Professional part | $89.13 | $97.72 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $338.84 Typical High $575.44 | Professional | None (both parts) | $257.04 | $338.84 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $123.03 Typical High $194.98 | Professional | 26 · Professional part | $89.13 | $123.03 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $229.09 Typical High $371.54 | Professional | TC · Technical part | $165.96 | $229.09 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $380.19 | Professional | None | $257.04 | $309.03 | $380.19 |
Medcost Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $389.05 | Professional | None | $302.00 | $371.54 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $309.03 Median $398.11 Typical High $467.74 | Facility | None | $309.03 | $398.11 | $467.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Sentara Setting Facility Modifier None Typical Low $109.65 Median $302.00 Typical High $1,258.93 | Facility | None | $109.65 | $302.00 | $1,258.93 |
Sentara Setting Professional Modifier None (both parts) Typical Low $117.49 Median $309.03 Typical High $1,071.52 | Professional | None (both parts) | $117.49 | $309.03 | $1,071.52 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $128.82 Typical High $218.78 | Professional | 26 · Professional part | $95.50 | $128.82 | $218.78 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $234.42 Typical High $407.38 | Professional | TC · Technical part | $169.82 | $234.42 | $407.38 |
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 $257.04 Median $416.87 Typical High $630.96 | Professional | None (both parts) | $257.04 | $416.87 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $131.83 Typical High $199.53 | Professional | 26 · Professional part | $83.18 | $131.83 | $199.53 |
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 $128.82 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $128.82 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $52.48 | $61.66 | $61.66 |
Where Virginia sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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· 47th of 51
$257
WI $891HI $138
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.