How much rates vary
Facilitymedian $288 · 10th to 90th $56 to $891Professionalmedian $295 · 10th to 90th $200 to $447
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 $269.15 Median $269.15 Typical High $295.12 | Facility | None | $269.15 | $269.15 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $269.15 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $218.78 | $263.03 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $42.66 Typical High $47.86 | Professional | TC · Technical part | $34.67 | $42.66 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $309.03 Typical High $389.05 | Professional | None (both parts) | $257.04 | $309.03 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $257.04 Typical High $323.59 | Professional | 26 · Professional part | $213.80 | $257.04 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $66.07 | Professional | TC · Technical part | $43.65 | $52.48 | $66.07 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $53.70 Median $269.15 Typical High $323.59 | Professional | None (both parts) | $53.70 | $269.15 | $323.59 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $218.78 | $245.47 | $245.47 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $63.10 | Professional | TC · Technical part | $47.86 | $47.86 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $102.33 Typical High $363.08 | Facility | None | $89.13 | $102.33 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $302.00 Typical High $524.81 | Professional | None (both parts) | $275.42 | $302.00 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $257.04 Typical High $416.87 | Professional | 26 · Professional part | $229.09 | $257.04 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $53.70 Typical High $107.15 | Professional | TC · Technical part | $39.81 | $53.70 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $309.03 Typical High $426.58 | Professional | None | $263.03 | $309.03 | $426.58 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $251.19 Typical High $380.19 | Professional | 26 · Professional part | $213.80 | $251.19 | $380.19 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $70.79 | Professional | TC · Technical part | $45.71 | $54.95 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $588.84 | Professional | None | $467.74 | $588.84 | $588.84 |
Medcost Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $512.86 | Facility | None | $478.63 | $478.63 | $512.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $588.84 | Professional | None (both parts) | $416.87 | $416.87 | $588.84 |
Sentara Setting Facility Modifier None Typical Low $53.70 Median $288.40 Typical High $1,000.00 | Facility | None | $53.70 | $288.40 | $1,000.00 |
Sentara Setting Professional Modifier None (both parts) Typical Low $31.62 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $31.62 | $281.84 | $489.78 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $281.84 Typical High $389.05 | Professional | 26 · Professional part | $173.78 | $281.84 | $389.05 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $44.67 Typical High $109.65 | Professional | TC · Technical part | $23.44 | $44.67 | $109.65 |
United Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $1,412.54 | Facility | None | $575.44 | $645.65 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $316.23 Typical High $575.44 | Professional | None (both parts) | $229.09 | $316.23 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $263.03 Typical High $436.52 | Professional | 26 · Professional part | $199.53 | $263.03 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $50.12 Typical High $165.96 | Professional | TC · Technical part | $30.90 | $50.12 | $165.96 |
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 $134.90 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $134.90 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $53.70 | $58.88 | $58.88 |
Where Virginia sits
The same service costs 3.3 times more in Minnesota 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· 42nd of 51
$295
MN $661UT $200
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.