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 $1,698.24 Median $9,549.93 Typical High $19,054.61 | Facility | None | $1,698.24 | $9,549.93 | $19,054.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $954.99 Typical High $8,511.38 | Professional | None (both parts) | $912.01 | $954.99 | $8,511.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $269.15 Typical High $457.09 | Professional | 26 · Professional part | $218.78 | $269.15 | $457.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $691.83 Typical High $1,174.90 | Professional | TC · Technical part | $660.69 | $691.83 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,772.37 Median $13,489.63 Typical High $14,791.08 | Facility | None | $9,772.37 | $13,489.63 | $14,791.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,000.00 Typical High $1,258.93 | Professional | None (both parts) | $831.76 | $1,000.00 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $257.04 Typical High $323.59 | Professional | 26 · Professional part | $213.80 | $257.04 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $741.31 Typical High $933.25 | Professional | TC · Technical part | $616.60 | $741.31 | $933.25 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $707.95 Median $933.25 Typical High $1,380.38 | Professional | None (both parts) | $707.95 | $933.25 | $1,380.38 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $251.19 Typical High $309.03 | Professional | 26 · Professional part | $229.09 | $251.19 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,137.96 Typical High $3,801.89 | Facility | None | $1,659.59 | $2,137.96 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,122.02 Typical High $1,862.09 | Professional | None (both parts) | $831.76 | $1,122.02 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $316.23 Typical High $489.78 | Professional | 26 · Professional part | $218.78 | $316.23 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $794.33 Typical High $1,412.54 | Professional | TC · Technical part | $616.60 | $794.33 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,258.93 | Professional | None | $851.14 | $1,023.29 | $1,258.93 |
Medcost Setting Professional Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,071.52 | $1,348.96 | $1,348.96 |
Medcost Setting Facility Modifier None Typical Low $954.99 Median $1,230.27 Typical High $1,584.89 | Facility | None | $954.99 | $1,230.27 | $1,584.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $977.24 | $977.24 | $977.24 |
Sentara Setting Facility Modifier None Typical Low $275.42 Median $933.25 Typical High $8,317.64 | Facility | None | $275.42 | $933.25 | $8,317.64 |
Sentara Setting Professional Modifier None (both parts) Typical Low $309.03 Median $1,000.00 Typical High $4,570.88 | Professional | None (both parts) | $309.03 | $1,000.00 | $4,570.88 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $316.23 Typical High $575.44 | Professional | 26 · Professional part | $245.47 | $316.23 | $575.44 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $812.83 Typical High $1,659.59 | Professional | TC · Technical part | $660.69 | $812.83 | $1,659.59 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $8,511.38 Typical High $24,547.09 | Facility | None | $1,995.26 | $8,511.38 | $24,547.09 |
United Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,258.93 Typical High $1,862.09 | Professional | None (both parts) | $812.83 | $1,258.93 | $1,862.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $346.74 Typical High $501.19 | Professional | 26 · Professional part | $208.93 | $346.74 | $501.19 |
United Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $891.25 Typical High $1,380.38 | Professional | TC · Technical part | $602.56 | $891.25 | $1,380.38 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $724.44 Typical High $724.44 | Professional | 54 · Surgery only | $676.08 | $724.44 | $724.44 |
Where Virginia sits
The same service costs 4.2 times more in Wisconsin 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· 44th of 51
$1,047
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.