How much rates vary
Facilitymedian $3,236 · 10th to 90th $741 to $15,488Professionalmedian $1,413 · 10th to 90th $1,023 to $2,455
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 $1,659.59 Median $8,317.64 Typical High $18,197.01 | Facility | None | $1,659.59 | $8,317.64 | $18,197.01 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $346.74 Median $524.81 Typical High $707.95 | Facility | 26 · Professional part | $346.74 | $524.81 | $707.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $912.01 Median $1,174.90 Typical High $1,698.24 | Facility | TC · Technical part | $912.01 | $1,174.90 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,548.82 Typical High $7,079.46 | Professional | None (both parts) | $1,258.93 | $1,548.82 | $7,079.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $426.58 Typical High $707.95 | Professional | 26 · Professional part | $346.74 | $426.58 | $707.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $954.99 Typical High $1,584.89 | Professional | TC · Technical part | $912.01 | $954.99 | $1,584.89 |
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 $1,148.15 Median $1,380.38 Typical High $1,737.80 | Professional | None (both parts) | $1,148.15 | $1,380.38 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $407.38 Typical High $512.86 | Professional | 26 · Professional part | $338.84 | $407.38 | $512.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $954.99 Typical High $1,230.27 | Professional | TC · Technical part | $812.83 | $954.99 | $1,230.27 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $398.11 Median $1,023.29 Typical High $1,862.09 | Professional | None (both parts) | $398.11 | $1,023.29 | $1,862.09 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $524.81 | Professional | 26 · Professional part | $354.81 | $354.81 | $524.81 |
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 $1,148.15 Median $1,621.81 Typical High $2,630.27 | Professional | None (both parts) | $1,148.15 | $1,621.81 | $2,630.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $501.19 Typical High $776.25 | Professional | 26 · Professional part | $346.74 | $501.19 | $776.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,122.02 Typical High $1,819.70 | Professional | TC · Technical part | $812.83 | $1,122.02 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,412.54 Typical High $1,737.80 | Professional | None | $1,174.90 | $1,412.54 | $1,737.80 |
Medcost Setting Professional Modifier None Typical Low $1,584.89 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,584.89 | $1,995.26 | $1,995.26 |
Medcost Setting Facility Modifier None Typical Low $1,380.38 Median $1,778.28 Typical High $2,238.72 | Facility | None | $1,380.38 | $1,778.28 | $2,238.72 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,412.54 |
Sentara Setting Facility Modifier None Typical Low $436.52 Median $1,288.25 Typical High $8,317.64 | Facility | None | $436.52 | $1,288.25 | $8,317.64 |
Sentara Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,412.54 Typical High $6,456.54 | Professional | None (both parts) | $478.63 | $1,412.54 | $6,456.54 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $489.78 Typical High $891.25 | Professional | 26 · Professional part | $380.19 | $489.78 | $891.25 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,122.02 Typical High $2,187.76 | Professional | TC · Technical part | $891.25 | $1,122.02 | $2,187.76 |
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 $1,174.90 Median $1,819.70 Typical High $2,630.27 | Professional | None (both parts) | $1,174.90 | $1,819.70 | $2,630.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $537.03 Typical High $794.33 | Professional | 26 · Professional part | $331.13 | $537.03 | $794.33 |
United Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,258.93 Typical High $1,862.09 | Professional | TC · Technical part | $812.83 | $1,258.93 | $1,862.09 |
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 $933.25 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $933.25 | $1,047.13 | $1,047.13 |
Where Virginia sits
The same service costs 3.9 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· 40th of 51
$1,479
WI $4,898NY $1,259
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.