How much rates vary
Facilitymedian $3,236 · 10th to 90th $661 to $15,488Professionalmedian $1,288 · 10th to 90th $933 to $2,239
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 $1,584.89 Median $8,317.64 Typical High $18,197.01 | Facility | None | $1,584.89 | $8,317.64 | $18,197.01 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $309.03 Median $478.63 Typical High $645.65 | Facility | 26 · Professional part | $309.03 | $478.63 | $645.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $831.76 Median $1,096.48 Typical High $1,548.82 | Facility | TC · Technical part | $831.76 | $1,096.48 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,445.44 Typical High $7,079.46 | Professional | None (both parts) | $1,122.02 | $1,445.44 | $7,079.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $380.19 Typical High $645.65 | Professional | 26 · Professional part | $309.03 | $380.19 | $645.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $891.25 Typical High $1,479.11 | Professional | TC · Technical part | $831.76 | $891.25 | $1,479.11 |
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 $1,023.29 Median $1,230.27 Typical High $1,548.82 | Professional | None (both parts) | $1,023.29 | $1,230.27 | $1,548.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $363.08 Typical High $457.09 | Professional | 26 · Professional part | $302.00 | $363.08 | $457.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $870.96 Typical High $1,096.48 | Professional | TC · Technical part | $724.44 | $870.96 | $1,096.48 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,148.15 Typical High $1,737.80 | Professional | None (both parts) | $831.76 | $1,148.15 | $1,737.80 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $354.81 Typical High $416.87 | Professional | 26 · Professional part | $323.59 | $354.81 | $416.87 |
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 $1,047.13 Median $1,479.11 Typical High $2,344.23 | Professional | None (both parts) | $1,047.13 | $1,479.11 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $446.68 Typical High $691.83 | Professional | 26 · Professional part | $309.03 | $446.68 | $691.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,047.13 Typical High $1,659.59 | Professional | TC · Technical part | $724.44 | $1,047.13 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,288.25 Typical High $1,584.89 | Professional | None | $1,071.52 | $1,288.25 | $1,584.89 |
Medcost Setting Professional Modifier None Typical Low $1,479.11 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,479.11 | $1,862.09 | $1,862.09 |
Medcost Setting Facility Modifier None Typical Low $1,258.93 Median $1,698.24 Typical High $2,089.30 | Facility | None | $1,258.93 | $1,698.24 | $2,089.30 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,348.96 |
Sentara Setting Facility Modifier None Typical Low $389.05 Median $1,148.15 Typical High $8,317.64 | Facility | None | $389.05 | $1,148.15 | $8,317.64 |
Sentara Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,288.25 Typical High $5,888.44 | Professional | None (both parts) | $436.52 | $1,288.25 | $5,888.44 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $446.68 Typical High $794.33 | Professional | 26 · Professional part | $346.74 | $446.68 | $794.33 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,023.29 Typical High $1,949.84 | Professional | TC · Technical part | $831.76 | $1,023.29 | $1,949.84 |
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 $1,071.52 Median $1,659.59 Typical High $2,454.71 | Professional | None (both parts) | $1,071.52 | $1,659.59 | $2,454.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $478.63 Typical High $707.95 | Professional | 26 · Professional part | $295.12 | $478.63 | $707.95 |
United Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,174.90 Typical High $1,737.80 | Professional | TC · Technical part | $758.58 | $1,174.90 | $1,737.80 |
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 $851.14 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $851.14 | $954.99 | $954.99 |
Where Virginia sits
The same service costs 3.8 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
$1,349
WI $4,467NY $1,175
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.