How much rates vary
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 $162.18 Median $162.18 Typical High $181.97 | Facility | None | $162.18 | $162.18 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $199.53 | Professional | None (both parts) | $162.18 | $181.97 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $67.61 | Professional | 26 · Professional part | $54.95 | $64.57 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $117.49 Typical High $125.89 | Professional | TC · Technical part | $102.33 | $117.49 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $363.08 Typical High $446.68 | Professional | None (both parts) | $295.12 | $363.08 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $77.62 | Professional | 26 · Professional part | $53.70 | $64.57 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $363.08 | Professional | TC · Technical part | $245.47 | $302.00 | $363.08 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $269.15 Median $302.00 Typical High $338.84 | Professional | None (both parts) | $269.15 | $302.00 | $338.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $54.95 | $61.66 | $61.66 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $295.12 | Professional | TC · Technical part | $245.47 | $245.47 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $645.65 Typical High $758.58 | Facility | None | $102.33 | $645.65 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $288.40 | $331.13 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $63.10 Typical High $100.00 | Professional | 26 · Professional part | $56.23 | $63.10 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $263.03 Typical High $436.52 | Professional | TC · Technical part | $229.09 | $263.03 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $446.68 | Professional | None | $302.00 | $354.81 | $446.68 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $81.28 | Professional | 26 · Professional part | $54.95 | $64.57 | $81.28 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $295.12 Typical High $363.08 | Professional | TC · Technical part | $245.47 | $295.12 | $363.08 |
Medcost Setting Professional Modifier None Typical Low $275.42 Median $346.74 Typical High $354.81 | Professional | None | $275.42 | $346.74 | $354.81 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $74.13 | $93.33 | $93.33 |
Medcost Setting Facility Modifier None Typical Low $309.03 Median $398.11 Typical High $398.11 | Facility | None | $309.03 | $398.11 | $398.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $125.89 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $125.89 | $363.08 | $363.08 |
Sentara Setting Facility Modifier None Typical Low $66.07 Median $177.83 Typical High $489.78 | Facility | None | $66.07 | $177.83 | $489.78 |
Sentara Setting Professional Modifier None (both parts) Typical Low $72.44 Median $208.93 Typical High $323.59 | Professional | None (both parts) | $72.44 | $208.93 | $323.59 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $114.82 | Professional | 26 · Professional part | $61.66 | $72.44 | $114.82 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $165.96 Typical High $229.09 | Professional | TC · Technical part | $123.03 | $165.96 | $229.09 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $7,079.46 | Facility | None | $1,698.24 | $3,801.89 | $7,079.46 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $316.23 Typical High $616.60 | Professional | None (both parts) | $234.42 | $316.23 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $117.49 | Professional | 26 · Professional part | $47.86 | $63.10 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $251.19 Typical High $489.78 | Professional | TC · Technical part | $186.21 | $251.19 | $489.78 |
1 more rate 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $204.17 Median $275.42 Typical High $275.42 | Professional | 27 · Multiple hospital visits | $204.17 | $275.42 | $275.42 |
Where Virginia sits
The same service costs 7.8 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· 21st of 51
$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.