How much rates vary
Facilitymedian $977 · 10th to 90th $263 to $16,596Professionalmedian $646 · 10th to 90th $324 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 $562.34 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $562.34 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $354.81 Typical High $354.81 | Professional | 26 · Professional part | $288.40 | $354.81 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $316.23 Typical High $316.23 | Professional | TC · Technical part | $275.42 | $316.23 | $316.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $630.96 Typical High $1,000.00 | Professional | None (both parts) | $302.00 | $630.96 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $331.13 Typical High $426.58 | Professional | 26 · Professional part | $281.84 | $331.13 | $426.58 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $660.69 Typical High $831.76 | Professional | TC · Technical part | $575.44 | $660.69 | $831.76 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $302.00 Median $1,071.52 Typical High $1,202.26 | Professional | None (both parts) | $302.00 | $1,071.52 | $1,202.26 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $416.87 Typical High $467.74 | Professional | 26 · Professional part | $338.84 | $416.87 | $467.74 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $851.14 Typical High $891.25 | Professional | TC · Technical part | $776.25 | $851.14 | $891.25 |
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 $549.54 Median $645.65 Typical High $1,023.29 | Professional | None (both parts) | $549.54 | $645.65 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $338.84 Typical High $537.03 | Professional | 26 · Professional part | $288.40 | $338.84 | $537.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $478.63 | Professional | TC · Technical part | $257.04 | $309.03 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $1,000.00 | Professional | None | $549.54 | $645.65 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $331.13 Typical High $512.86 | Professional | 26 · Professional part | $281.84 | $331.13 | $512.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $316.23 Typical High $489.78 | Professional | TC · Technical part | $257.04 | $316.23 | $489.78 |
Medcost Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $851.14 | Professional | None | $676.08 | $851.14 | $851.14 |
Medcost Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,023.29 | Facility | None | $891.25 | $891.25 | $1,023.29 |
Medcost Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $1,096.48 | Professional | None (both parts) | $912.01 | $912.01 | $1,096.48 |
Sentara Setting Facility Modifier None Typical Low $263.03 Median $575.44 Typical High $1,621.81 | Facility | None | $263.03 | $575.44 | $1,621.81 |
Sentara Setting Professional Modifier None (both parts) Typical Low $281.84 Median $562.34 Typical High $870.96 | Professional | None (both parts) | $281.84 | $562.34 | $870.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $380.19 Typical High $537.03 | Professional | 26 · Professional part | $223.87 | $380.19 | $537.03 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $323.59 Typical High $446.68 | Professional | TC · Technical part | $199.53 | $323.59 | $446.68 |
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 $426.58 Median $645.65 Typical High $1,071.52 | Professional | None (both parts) | $426.58 | $645.65 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $338.84 Typical High $562.34 | Professional | 26 · Professional part | $245.47 | $338.84 | $562.34 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $302.00 Typical High $537.03 | Professional | TC · Technical part | $147.91 | $302.00 | $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 $281.84 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $281.84 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $112.20 | $134.90 | $134.90 |
Where Virginia sits
The same service costs 3.0 times more in Alaska than in Hawaii. 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· 35th of 51
$661
AK $1,288HI $437
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.