How much rates vary
Facilitymedian $1,259 · 10th to 90th $126 to $20,893Professionalmedian $245 · 10th to 90th $126 to $513
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 $245.47 Median $5,754.40 Typical High $37,153.52 | Facility | None | $245.47 | $5,754.40 | $37,153.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $245.47 Typical High $4,365.16 | Professional | None (both parts) | $204.17 | $245.47 | $4,365.16 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $186.21 Typical High $186.21 | Professional | 26 · Professional part | $151.36 | $186.21 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $54.95 | $61.66 | $61.66 |
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 $158.49 Median $158.49 Typical High $467.74 | Professional | None (both parts) | $158.49 | $158.49 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $173.78 Typical High $218.78 | Professional | 26 · Professional part | $147.91 | $173.78 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $245.47 Typical High $309.03 | Professional | TC · Technical part | $213.80 | $245.47 | $309.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $51.29 Median $213.80 Typical High $281.84 | Professional | None (both parts) | $51.29 | $213.80 | $281.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $173.78 Typical High $213.80 | Professional | 26 · Professional part | $154.88 | $173.78 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $501.19 Typical High $38,018.94 | Facility | None | $131.83 | $501.19 | $38,018.94 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $281.84 Typical High $426.58 | Professional | None (both parts) | $199.53 | $281.84 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $213.80 Typical High $331.13 | Professional | 26 · Professional part | $151.36 | $213.80 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $67.61 Typical High $114.82 | Professional | TC · Technical part | $50.12 | $67.61 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $295.12 | Professional | None | $199.53 | $239.88 | $295.12 |
Medcost Setting Professional Modifier None Typical Low $257.04 Median $316.23 Typical High $316.23 | Professional | None | $257.04 | $316.23 | $316.23 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $380.19 | Facility | None | $245.47 | $323.59 | $380.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Sentara Setting Facility Modifier None Typical Low $64.57 Median $251.19 Typical High $2,570.40 | Facility | None | $64.57 | $251.19 | $2,570.40 |
Sentara Setting Professional Modifier None (both parts) Typical Low $69.18 Median $257.04 Typical High $2,137.96 | Professional | None (both parts) | $69.18 | $257.04 | $2,137.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $218.78 Typical High $380.19 | Professional | 26 · Professional part | $162.18 | $218.78 | $380.19 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $70.79 Typical High $128.82 | Professional | TC · Technical part | $52.48 | $70.79 | $128.82 |
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 $194.98 Median $309.03 Typical High $467.74 | Professional | None (both parts) | $194.98 | $309.03 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $229.09 Typical High $338.84 | Professional | 26 · Professional part | $144.54 | $229.09 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $81.28 Typical High $123.03 | Professional | TC · Technical part | $50.12 | $81.28 | $123.03 |
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 $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $102.33 | $123.03 | $123.03 |
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 5.9 times more in Louisiana than in Alabama. 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· 39th of 51
$295
LA $1,288AL $219
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.