How much rates vary
Facilitymedian $331 · 10th to 90th $87 to $3,981Professionalmedian $91 · 10th to 90th $20 to $269
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 $186.21 Median $4,365.16 Typical High $15,488.17 | Facility | None | $186.21 | $4,365.16 | $15,488.17 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $117.49 Typical High $138.04 | Facility | 26 · Professional part | $69.18 | $117.49 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $346.74 | Professional | None (both parts) | $158.49 | $186.21 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $138.04 | Professional | 26 · Professional part | $69.18 | $87.10 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $102.33 Typical High $151.36 | Professional | TC · Technical part | $89.13 | $102.33 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $19.50 Median $22.91 Typical High $29.51 | Professional | None (both parts) | $19.50 | $22.91 | $29.51 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $70.79 Median $104.71 Typical High $194.98 | Professional | None (both parts) | $70.79 | $104.71 | $194.98 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $102.33 | Professional | 26 · Professional part | $79.43 | $79.43 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $204.17 Typical High $346.74 | Professional | None (both parts) | $154.88 | $204.17 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $70.79 | $97.72 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $114.82 Typical High $190.55 | Professional | TC · Technical part | $83.18 | $114.82 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $186.21 Typical High $229.09 | Professional | None | $154.88 | $186.21 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $234.42 | Professional | None | $186.21 | $234.42 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $245.47 Typical High $288.40 | Facility | None | $186.21 | $245.47 | $288.40 |
Medcost Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Sentara Setting Facility Modifier None Typical Low $75.86 Median $177.83 Typical High $1,174.90 | Facility | None | $75.86 | $177.83 | $1,174.90 |
Sentara Setting Professional Modifier None (both parts) Typical Low $87.10 Median $181.97 Typical High $870.96 | Professional | None (both parts) | $87.10 | $181.97 | $870.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $75.86 | $100.00 | $173.78 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $204.17 | Professional | TC · Technical part | $85.11 | $117.49 | $204.17 |
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 $144.54 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $144.54 | $239.88 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $107.15 Typical High $158.49 | Professional | 26 · Professional part | $66.07 | $107.15 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $131.83 Typical High $204.17 | Professional | TC · Technical part | $72.44 | $131.83 | $204.17 |
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 $79.43 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $79.43 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $31.62 | $38.02 | $38.02 |
Where Virginia sits
The same service costs 4.3 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
$151
WI $562HI $132
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.