How much rates vary
Facilitymedian $891 · 10th to 90th $209 to $16,596Professionalmedian $501 · 10th to 90th $214 to $1,202
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 $3,235.94 Median $8,317.64 Typical High $22,387.21 | Facility | None | $3,235.94 | $8,317.64 | $22,387.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $436.52 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $162.18 | $204.17 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $269.15 | $302.00 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $501.19 Typical High $758.58 | Professional | None (both parts) | $173.78 | $501.19 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $190.55 Typical High $245.47 | Professional | 26 · Professional part | $158.49 | $190.55 | $245.47 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $501.19 Typical High $630.96 | Professional | TC · Technical part | $436.52 | $501.19 | $630.96 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $173.78 Median $1,071.52 Typical High $1,230.27 | Professional | None (both parts) | $173.78 | $1,071.52 | $1,230.27 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $239.88 | Professional | 26 · Professional part | $190.55 | $190.55 | $239.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,000.00 Typical High $1,174.90 | Professional | TC · Technical part | $1,000.00 | $1,000.00 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $38,018.94 Median $38,018.94 Typical High $48,977.88 | Facility | None | $38,018.94 | $38,018.94 | $48,977.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $489.78 Typical High $794.33 | Professional | None (both parts) | $416.87 | $489.78 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $194.98 Typical High $309.03 | Professional | 26 · Professional part | $165.96 | $194.98 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $295.12 Typical High $467.74 | Professional | TC · Technical part | $251.19 | $295.12 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $758.58 | Professional | None | $416.87 | $489.78 | $758.58 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $186.21 Typical High $295.12 | Professional | 26 · Professional part | $158.49 | $186.21 | $295.12 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $478.63 | Professional | TC · Technical part | $251.19 | $302.00 | $478.63 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $660.69 Typical High $660.69 | Professional | None | $524.81 | $660.69 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $776.25 | Facility | None | $691.83 | $691.83 | $776.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $691.83 Median $851.14 Typical High $1,230.27 | Professional | None (both parts) | $691.83 | $851.14 | $1,230.27 |
Sentara Setting Facility Modifier None Typical Low $194.98 Median $457.09 Typical High $4,570.88 | Facility | None | $194.98 | $457.09 | $4,570.88 |
Sentara Setting Professional Modifier None (both parts) Typical Low $194.98 Median $426.58 Typical High $691.83 | Professional | None (both parts) | $194.98 | $426.58 | $691.83 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $223.87 Typical High $309.03 | Professional | 26 · Professional part | $128.82 | $223.87 | $309.03 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $316.23 Typical High $436.52 | Professional | TC · Technical part | $194.98 | $316.23 | $436.52 |
United Setting Facility Modifier None Typical Low $204.17 Median $1,479.11 Typical High $51,286.14 | Facility | None | $204.17 | $1,479.11 | $51,286.14 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $467.74 Typical High $851.14 | Professional | None (both parts) | $288.40 | $467.74 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $194.98 Typical High $323.59 | Professional | 26 · Professional part | $141.25 | $194.98 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $281.84 Typical High $537.03 | Professional | TC · Technical part | $120.23 | $281.84 | $537.03 |
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 $213.80 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $213.80 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $87.10 | $102.33 | $102.33 |
Where Virginia sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. 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
$501
WI $1,000NC $331
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.