How much rates vary
Facilitymedian $331 · 10th to 90th $100 to $1,738Professionalmedian $186 · 10th to 90th $98 to $417
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 $204.17 Median $251.19 Typical High $346.74 | Facility | None | $204.17 | $251.19 | $346.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $66.07 Median $125.89 Typical High $173.78 | Facility | 26 · Professional part | $66.07 | $125.89 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $204.17 | $251.19 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $173.78 | Professional | 26 · Professional part | $66.07 | $87.10 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $162.18 Typical High $251.19 | Professional | TC · Technical part | $134.90 | $162.18 | $251.19 |
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 $75.86 Median $251.19 Typical High $331.13 | Professional | None (both parts) | $75.86 | $251.19 | $331.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $67.61 | $67.61 | $97.72 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $204.17 Typical High $245.47 | Professional | TC · Technical part | $181.97 | $204.17 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $295.12 Typical High $467.74 | Professional | None (both parts) | $194.98 | $295.12 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $102.33 Typical High $162.18 | Professional | 26 · Professional part | $67.61 | $102.33 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $194.98 Typical High $316.23 | Professional | TC · Technical part | $125.89 | $194.98 | $316.23 |
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 $251.19 Median $380.19 Typical High $398.11 | Facility | None | $251.19 | $380.19 | $398.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Sentara Setting Facility Modifier None Typical Low $95.50 Median $281.84 Typical High $1,445.44 | Facility | None | $95.50 | $281.84 | $1,445.44 |
Sentara Setting Professional Modifier None (both parts) Typical Low $112.20 Median $281.84 Typical High $1,174.90 | Professional | None (both parts) | $112.20 | $281.84 | $1,174.90 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $109.65 Typical High $177.83 | Professional | 26 · Professional part | $79.43 | $109.65 | $177.83 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $194.98 Typical High $398.11 | Professional | TC · Technical part | $151.36 | $194.98 | $398.11 |
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 $234.42 Median $371.54 Typical High $575.44 | Professional | None (both parts) | $234.42 | $371.54 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $114.82 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $114.82 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $269.15 Typical High $407.38 | Professional | TC · Technical part | $165.96 | $269.15 | $407.38 |
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 $102.33 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $102.33 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $40.74 | $50.12 | $50.12 |
Where Virginia sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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· 49th of 51
$204
WI $776OR $182
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.