How much rates vary
Facilitymedian $1,514 · 10th to 90th $123 to $20,893Professionalmedian $224 · 10th to 90th $126 to $525
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 $3,235.94 Median $8,317.64 Typical High $22,387.21 | Facility | None | $3,235.94 | $8,317.64 | $22,387.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $8,511.38 | Professional | None (both parts) | $190.55 | $223.87 | $8,511.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $134.90 Typical High $213.80 | Professional | 26 · Professional part | $109.65 | $134.90 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $89.13 Typical High $134.90 | Professional | TC · Technical part | $79.43 | $89.13 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $18,620.87 Median $23,988.33 Typical High $25,703.96 | Facility | None | $18,620.87 | $23,988.33 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $416.87 | Professional | None (both parts) | $112.20 | $112.20 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $125.89 Typical High $158.49 | Professional | 26 · Professional part | $104.71 | $125.89 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $223.87 Typical High $281.84 | Professional | TC · Technical part | $190.55 | $223.87 | $281.84 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $112.20 Median $194.98 Typical High $251.19 | Professional | None (both parts) | $112.20 | $194.98 | $251.19 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $162.18 | Professional | 26 · Professional part | $123.03 | $123.03 | $162.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $85.11 Typical High $100.00 | Professional | TC · Technical part | $75.86 | $85.11 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $501.19 Typical High $38,018.94 | Facility | None | $186.21 | $501.19 | $38,018.94 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $251.19 Typical High $398.11 | Professional | None (both parts) | $181.97 | $251.19 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $151.36 Typical High $239.88 | Professional | 26 · Professional part | $109.65 | $151.36 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $162.18 | Professional | TC · Technical part | $72.44 | $97.72 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $218.78 Typical High $269.15 | Professional | None | $181.97 | $218.78 | $269.15 |
Medcost Setting Professional Modifier None Typical Low $223.87 Median $275.42 Typical High $275.42 | Professional | None | $223.87 | $275.42 | $275.42 |
Medcost Setting Facility Modifier None Typical Low $223.87 Median $281.84 Typical High $338.84 | Facility | None | $223.87 | $281.84 | $338.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Sentara Setting Facility Modifier None Typical Low $89.13 Median $229.09 Typical High $2,884.03 | Facility | None | $89.13 | $229.09 | $2,884.03 |
Sentara Setting Professional Modifier None (both parts) Typical Low $95.50 Median $229.09 Typical High $2,137.96 | Professional | None (both parts) | $95.50 | $229.09 | $2,137.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $158.49 Typical High $269.15 | Professional | 26 · Professional part | $117.49 | $158.49 | $269.15 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $186.21 | Professional | TC · Technical part | $75.86 | $102.33 | $186.21 |
United Setting Facility Modifier None Typical Low $588.84 Median $2,344.23 Typical High $25,703.96 | Facility | None | $588.84 | $2,344.23 | $25,703.96 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $173.78 | $275.42 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $162.18 Typical High $251.19 | Professional | 26 · Professional part | $104.71 | $162.18 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $112.20 Typical High $177.83 | Professional | TC · Technical part | $67.61 | $112.20 | $177.83 |
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 $93.33 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $93.33 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $38.02 | $44.67 | $44.67 |
Where Virginia sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 37th of 51
$269
OK $4,786HI $158
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.