How much rates vary
Facilitymedian $3,631 · 10th to 90th $174 to $19,953Professionalmedian $389 · 10th to 90th $251 to $741
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 $354.81 Median $5,623.41 Typical High $16,218.10 | Facility | None | $354.81 | $5,623.41 | $16,218.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $354.81 Typical High $3,981.07 | Professional | None (both parts) | $302.00 | $354.81 | $3,981.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $229.09 | $275.42 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $70.79 | $77.62 | $77.62 |
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 $234.42 Median $371.54 Typical High $660.69 | Professional | None (both parts) | $234.42 | $371.54 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $263.03 Typical High $323.59 | Professional | 26 · Professional part | $218.78 | $263.03 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $346.74 Typical High $436.52 | Professional | TC · Technical part | $295.12 | $346.74 | $436.52 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $354.81 Median $389.05 Typical High $478.63 | Professional | None (both parts) | $354.81 | $389.05 | $478.63 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $257.04 Typical High $309.03 | Professional | 26 · Professional part | $229.09 | $257.04 | $309.03 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $102.33 Typical High $120.23 | Professional | TC · Technical part | $91.20 | $102.33 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $501.19 Typical High $38,018.94 | Facility | None | $177.83 | $501.19 | $38,018.94 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $416.87 Typical High $630.96 | Professional | None (both parts) | $288.40 | $416.87 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $323.59 Typical High $489.78 | Professional | 26 · Professional part | $223.87 | $323.59 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $144.54 | Professional | TC · Technical part | $63.10 | $91.20 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $346.74 Typical High $426.58 | Professional | None | $288.40 | $346.74 | $426.58 |
Medcost Setting Professional Modifier None Typical Low $407.38 Median $512.86 Typical High $512.86 | Professional | None | $407.38 | $512.86 | $512.86 |
Medcost Setting Facility Modifier None Typical Low $354.81 Median $501.19 Typical High $537.03 | Facility | None | $354.81 | $501.19 | $537.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Sentara Setting Facility Modifier None Typical Low $81.28 Median $363.08 Typical High $10,232.93 | Facility | None | $81.28 | $363.08 | $10,232.93 |
Sentara Setting Professional Modifier None (both parts) Typical Low $91.20 Median $371.54 Typical High $1,621.81 | Professional | None (both parts) | $91.20 | $371.54 | $1,621.81 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $331.13 Typical High $588.84 | Professional | 26 · Professional part | $269.15 | $331.13 | $588.84 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $177.83 | Professional | TC · Technical part | $74.13 | $91.20 | $177.83 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $10,000.00 Typical High $25,118.86 | Facility | None | $2,570.40 | $10,000.00 | $25,118.86 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $467.74 Typical High $691.83 | Professional | None (both parts) | $288.40 | $467.74 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $346.74 Typical High $512.86 | Professional | 26 · Professional part | $208.93 | $346.74 | $512.86 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $117.49 Typical High $177.83 | Professional | TC · Technical part | $72.44 | $117.49 | $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 $151.36 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $151.36 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $60.26 | $70.79 | $70.79 |
Where Virginia sits
The same service costs 9.5 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· 39th of 51
$447
LA $3,090NY $324
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.