How much rates vary
Facilitymedian $295 · 10th to 90th $83 to $12,303Professionalmedian $214 · 10th to 90th $141 to $339
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 $181.97 Median $5,754.40 Typical High $54,954.09 | Facility | None | $181.97 | $5,754.40 | $54,954.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $181.97 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $131.83 | $165.96 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $52.48 | $57.54 | $57.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $213.80 Typical High $269.15 | Professional | None (both parts) | $177.83 | $213.80 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $154.88 Typical High $199.53 | Professional | 26 · Professional part | $128.82 | $154.88 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $72.44 | Professional | TC · Technical part | $47.86 | $56.23 | $72.44 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $60.26 Median $194.98 Typical High $223.87 | Professional | None (both parts) | $60.26 | $194.98 | $223.87 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $138.04 | $154.88 | $154.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $75.86 | Professional | TC · Technical part | $53.70 | $53.70 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $60.26 Typical High $48,977.88 | Facility | None | $57.54 | $60.26 | $48,977.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $446.68 | Professional | None (both parts) | $186.21 | $218.78 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $158.49 Typical High $288.40 | Professional | 26 · Professional part | $138.04 | $158.49 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $60.26 Typical High $151.36 | Professional | TC · Technical part | $48.98 | $60.26 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $346.74 | Professional | None | $177.83 | $208.93 | $346.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $151.36 Typical High $245.47 | Professional | 26 · Professional part | $128.82 | $151.36 | $245.47 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $95.50 | Professional | TC · Technical part | $48.98 | $58.88 | $95.50 |
Medcost Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $363.08 Median $398.11 Typical High $398.11 | Facility | None | $363.08 | $398.11 | $398.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $338.84 | Professional | None (both parts) | $295.12 | $295.12 | $338.84 |
Sentara Setting Facility Modifier None Typical Low $72.44 Median $218.78 Typical High $1,174.90 | Facility | None | $72.44 | $218.78 | $1,174.90 |
Sentara Setting Professional Modifier None (both parts) Typical Low $102.33 Median $223.87 Typical High $398.11 | Professional | None (both parts) | $102.33 | $223.87 | $398.11 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $213.80 Typical High $275.42 | Professional | 26 · Professional part | $104.71 | $213.80 | $275.42 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $109.65 Typical High $144.54 | Professional | TC · Technical part | $36.31 | $109.65 | $144.54 |
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 $162.18 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $162.18 | $263.03 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $177.83 Typical High $295.12 | Professional | 26 · Professional part | $120.23 | $177.83 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $72.44 Typical High $151.36 | Professional | TC · Technical part | $41.69 | $72.44 | $151.36 |
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 $91.20 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $91.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $36.31 | $44.67 | $44.67 |
Where Virginia sits
The same service costs 3.5 times more in Alaska than in Utah. 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
$214
AK $468UT $132
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.