How much rates vary
Facilitymedian $1,175 · 10th to 90th $98 to $20,893Professionalmedian $182 · 10th to 90th $69 to $380
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 $181.97 Median $5,754.40 Typical High $37,153.52 | Facility | None | $181.97 | $5,754.40 | $37,153.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $4,365.16 | Professional | None (both parts) | $151.36 | $181.97 | $4,365.16 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $107.15 | $131.83 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $45.71 | $51.29 | $51.29 |
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 $199.53 Typical High $346.74 | Professional | None (both parts) | $112.20 | $199.53 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $154.88 | Professional | 26 · Professional part | $104.71 | $123.03 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $181.97 Typical High $229.09 | Professional | TC · Technical part | $158.49 | $181.97 | $229.09 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $39.81 Median $158.49 Typical High $194.98 | Professional | None (both parts) | $39.81 | $158.49 | $194.98 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $123.03 Typical High $147.91 | Professional | 26 · Professional part | $109.65 | $123.03 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $501.19 Typical High $38,018.94 | Facility | None | $107.15 | $501.19 | $38,018.94 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $208.93 Typical High $331.13 | Professional | None (both parts) | $147.91 | $208.93 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $151.36 Typical High $234.42 | Professional | 26 · Professional part | $107.15 | $151.36 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $56.23 Typical High $95.50 | Professional | TC · Technical part | $42.66 | $56.23 | $95.50 |
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 $186.21 Median $234.42 Typical High $234.42 | Professional | None | $186.21 | $234.42 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $234.42 Typical High $281.84 | Facility | None | $181.97 | $234.42 | $281.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Sentara Setting Facility Modifier None Typical Low $53.70 Median $190.55 Typical High $2,570.40 | Facility | None | $53.70 | $190.55 | $2,570.40 |
Sentara Setting Professional Modifier None (both parts) Typical Low $57.54 Median $190.55 Typical High $1,230.27 | Professional | None (both parts) | $57.54 | $190.55 | $1,230.27 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $154.88 Typical High $269.15 | Professional | 26 · Professional part | $114.82 | $154.88 | $269.15 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $60.26 Typical High $104.71 | Professional | TC · Technical part | $43.65 | $60.26 | $104.71 |
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 $134.90 Median $229.09 Typical High $338.84 | Professional | None (both parts) | $134.90 | $229.09 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $162.18 Typical High $245.47 | Professional | 26 · Professional part | $102.33 | $162.18 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $66.07 Typical High $100.00 | Professional | TC · Technical part | $33.11 | $66.07 | $100.00 |
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 $75.86 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $75.86 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $30.20 | $36.31 | $36.31 |
Where Virginia sits
The same service costs 8.3 times more in Louisiana 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· 38th of 51
$214
LA $1,288HI $155
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.