How much rates vary
Facilitymedian $245 · 10th to 90th $72 to $1,738Professionalmedian $89 · 10th to 90th $20 to $251
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 $107.15 Median $107.15 Typical High $151.36 | Facility | None | $107.15 | $107.15 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $151.36 Typical High $190.55 | Professional | None (both parts) | $107.15 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $134.90 | Professional | 26 · Professional part | $48.98 | $70.79 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $107.15 | Professional | TC · Technical part | $60.26 | $79.43 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $19.50 Median $22.91 Typical High $30.20 | Professional | None (both parts) | $19.50 | $22.91 | $30.20 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $144.54 Median $165.96 Typical High $194.98 | Professional | None (both parts) | $144.54 | $165.96 | $194.98 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $64.57 | Professional | 26 · Professional part | $48.98 | $54.95 | $64.57 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $131.83 | Professional | TC · Technical part | $100.00 | $112.20 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $162.18 Typical High $281.84 | Professional | None (both parts) | $104.71 | $162.18 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $75.86 Typical High $125.89 | Professional | 26 · Professional part | $48.98 | $75.86 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $56.23 | $87.10 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $181.97 Typical High $223.87 | Professional | None | $151.36 | $181.97 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $229.09 Typical High $234.42 | Facility | None | $151.36 | $229.09 | $234.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Sentara Setting Facility Modifier None Typical Low $67.61 Median $151.36 Typical High $1,445.44 | Facility | None | $67.61 | $151.36 | $1,445.44 |
Sentara Setting Professional Modifier None (both parts) Typical Low $74.13 Median $151.36 Typical High $1,174.90 | Professional | None (both parts) | $74.13 | $151.36 | $1,174.90 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $87.10 Typical High $128.82 | Professional | 26 · Professional part | $57.54 | $87.10 | $128.82 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $95.50 Typical High $190.55 | Professional | TC · Technical part | $67.61 | $95.50 | $190.55 |
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 $128.82 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $128.82 | $223.87 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $85.11 Typical High $120.23 | Professional | 26 · Professional part | $48.98 | $85.11 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $141.25 Typical High $223.87 | Professional | TC · Technical part | $77.62 | $141.25 | $223.87 |
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 $53.70 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $53.70 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $21.88 | $30.20 | $30.20 |
Where Virginia sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 51st of 51
$110
WI $417VA $110
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.