How much rates vary
Facilitymedian $1,096 · 10th to 90th $26 to $22,387Professionalmedian $60 · 10th to 90th $40 to $112
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 $53.70 Median $8,317.64 Typical High $37,153.52 | Facility | None | $53.70 | $8,317.64 | $37,153.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $53.70 Typical High $4,365.16 | Professional | None (both parts) | $43.65 | $53.70 | $4,365.16 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $33.88 | $42.66 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $11.22 Typical High $11.48 | Professional | TC · Technical part | $9.33 | $11.22 | $11.48 |
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 $43.65 Median $51.29 Typical High $61.66 | Professional | None (both parts) | $43.65 | $51.29 | $61.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $47.86 | Professional | 26 · Professional part | $33.11 | $38.90 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $77.62 | Professional | TC · Technical part | $50.12 | $60.26 | $77.62 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $38.90 Median $58.88 Typical High $69.18 | Professional | None (both parts) | $38.90 | $58.88 | $69.18 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $44.67 | Professional | 26 · Professional part | $34.67 | $38.02 | $44.67 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $10.96 Typical High $12.30 | Professional | TC · Technical part | $9.77 | $10.96 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $36.31 Typical High $38,018.94 | Facility | None | $30.90 | $36.31 | $38,018.94 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $67.61 Typical High $107.15 | Professional | None (both parts) | $43.65 | $67.61 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $53.70 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $14.13 Typical High $23.44 | Professional | TC · Technical part | $9.12 | $14.13 | $23.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $66.07 | Professional | None | $44.67 | $52.48 | $66.07 |
Medcost Setting Professional Modifier None Typical Low $70.79 Median $89.13 Typical High $89.13 | Professional | None | $70.79 | $89.13 | $89.13 |
Medcost Setting Facility Modifier None Typical Low $53.70 Median $83.18 Typical High $97.72 | Facility | None | $53.70 | $83.18 | $97.72 |
Medcost Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Sentara Setting Facility Modifier None Typical Low $12.30 Median $60.26 Typical High $2,884.03 | Facility | None | $12.30 | $60.26 | $2,884.03 |
Sentara Setting Professional Modifier None (both parts) Typical Low $15.14 Median $63.10 Typical High $251.19 | Professional | None (both parts) | $15.14 | $63.10 | $251.19 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $93.33 | Professional | 26 · Professional part | $40.74 | $58.88 | $93.33 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $14.79 Typical High $30.20 | Professional | TC · Technical part | $10.96 | $14.79 | $30.20 |
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 $43.65 Median $79.43 Typical High $107.15 | Professional | None (both parts) | $43.65 | $79.43 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $58.88 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $58.88 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $19.05 Typical High $28.84 | Professional | TC · Technical part | $9.55 | $19.05 | $28.84 |
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 $21.88 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $21.88 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $8.71 | $10.96 | $10.96 |
Where Virginia sits
The same service costs 51.3 times more in Oklahoma than in New York. 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
$70.79
OK $2,570NY $50.12
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.