How much rates vary
Facilitymedian $4,074 · 10th to 90th $513 to $19,055Professionalmedian $1,072 · 10th to 90th $589 to $2,344
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 $954.99 Median $5,754.40 Typical High $16,595.87 | Facility | None | $954.99 | $5,754.40 | $16,595.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $575.44 Median $1,000.00 Typical High $1,148.15 | Facility | 26 · Professional part | $575.44 | $1,000.00 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $954.99 Typical High $7,079.46 | Professional | None (both parts) | $794.33 | $954.99 | $7,079.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $707.95 Typical High $1,148.15 | Professional | 26 · Professional part | $575.44 | $707.95 | $1,148.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $234.42 Typical High $323.59 | Professional | TC · Technical part | $208.93 | $234.42 | $323.59 |
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 $602.56 Median $602.56 Typical High $1,778.28 | Professional | None (both parts) | $602.56 | $602.56 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $562.34 Median $676.08 Typical High $851.14 | Professional | 26 · Professional part | $562.34 | $676.08 | $851.14 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $977.24 Typical High $1,230.27 | Professional | TC · Technical part | $831.76 | $977.24 | $1,230.27 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,000.00 Typical High $1,479.11 | Professional | None (both parts) | $588.84 | $1,000.00 | $1,479.11 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $575.44 Typical High $707.95 | Professional | TC · Technical part | $512.86 | $575.44 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $4,786.30 Typical High $9,332.54 | Facility | None | $588.84 | $4,786.30 | $9,332.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,148.15 Typical High $1,698.24 | Professional | None (both parts) | $794.33 | $1,148.15 | $1,698.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $794.33 Typical High $1,230.27 | Professional | 26 · Professional part | $602.56 | $794.33 | $1,230.27 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $288.40 Typical High $549.54 | Professional | TC · Technical part | $194.98 | $288.40 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $1,148.15 | Professional | None | $776.25 | $933.25 | $1,148.15 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $758.58 Median $954.99 Typical High $954.99 | Professional | 26 · Professional part | $758.58 | $954.99 | $954.99 |
Medcost Setting Facility Modifier None Typical Low $954.99 Median $1,230.27 Typical High $1,445.44 | Facility | None | $954.99 | $1,230.27 | $1,445.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $870.96 | $870.96 | $870.96 |
Sentara Setting Facility Modifier None Typical Low $269.15 Median $1,000.00 Typical High $10,232.93 | Facility | None | $269.15 | $1,000.00 | $10,232.93 |
Sentara Setting Professional Modifier None (both parts) Typical Low $275.42 Median $1,047.13 Typical High $5,128.61 | Professional | None (both parts) | $275.42 | $1,047.13 | $5,128.61 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $851.14 Typical High $1,479.11 | Professional | 26 · Professional part | $630.96 | $851.14 | $1,479.11 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $512.86 | Professional | TC · Technical part | $229.09 | $281.84 | $512.86 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $10,715.19 Typical High $25,118.86 | Facility | None | $2,570.40 | $10,715.19 | $25,118.86 |
United Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,380.38 Typical High $2,344.23 | Professional | None (both parts) | $912.01 | $1,380.38 | $2,344.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $870.96 Typical High $1,318.26 | Professional | 26 · Professional part | $549.54 | $870.96 | $1,318.26 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $588.84 Typical High $1,023.29 | Professional | TC · Technical part | $323.59 | $588.84 | $1,023.29 |
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 $398.11 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $398.11 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $158.49 | $190.55 | $190.55 |
Where Virginia sits
The same service costs 5.2 times more in Louisiana 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· 40th of 51
$1,259
LA $4,677NY $891
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.