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 $165.96 Median $165.96 Typical High $181.97 | Facility | None | $165.96 | $165.96 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $199.53 | Professional | None (both parts) | $158.49 | $181.97 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $69.18 | Professional | 26 · Professional part | $56.23 | $64.57 | $69.18 |
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 $371.54 Median $446.68 Typical High $549.54 | Professional | None (both parts) | $371.54 | $446.68 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $79.43 | Professional | 26 · Professional part | $54.95 | $66.07 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $389.05 Typical High $467.74 | Professional | TC · Technical part | $316.23 | $389.05 | $467.74 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $316.23 Median $346.74 Typical High $407.38 | Professional | None (both parts) | $316.23 | $346.74 | $407.38 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $63.10 Typical High $66.07 | Professional | 26 · Professional part | $56.23 | $63.10 | $66.07 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $371.54 | Professional | TC · Technical part | $288.40 | $288.40 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $660.69 Typical High $758.58 | Facility | None | $102.33 | $660.69 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $630.96 | Professional | None (both parts) | $323.59 | $354.81 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $100.00 | Professional | 26 · Professional part | $57.54 | $63.10 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $302.00 Typical High $524.81 | Professional | TC · Technical part | $257.04 | $302.00 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $426.58 Typical High $537.03 | Professional | None | $363.08 | $426.58 | $537.03 |
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 $302.00 Median $363.08 Typical High $446.68 | Professional | TC · Technical part | $302.00 | $363.08 | $446.68 |
Medcost Setting Professional Modifier None Typical Low $275.42 Median $354.81 Typical High $354.81 | Professional | None | $275.42 | $354.81 | $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 $354.81 Typical High $354.81 | Professional | None (both parts) | $125.89 | $354.81 | $354.81 |
Sentara Setting Facility Modifier None Typical Low $64.57 Median $173.78 Typical High $489.78 | Facility | None | $64.57 | $173.78 | $489.78 |
Sentara Setting Professional Modifier None (both parts) Typical Low $72.44 Median $213.80 Typical High $323.59 | Professional | None (both parts) | $72.44 | $213.80 | $323.59 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $114.82 | Professional | 26 · Professional part | $63.10 | $72.44 | $114.82 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $234.42 | Professional | TC · Technical part | $120.23 | $154.88 | $234.42 |
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 $346.74 Typical High $660.69 | Professional | None (both parts) | $234.42 | $346.74 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $114.82 | Professional | 26 · Professional part | $47.86 | $63.10 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $295.12 Typical High $562.34 | Professional | TC · Technical part | $186.21 | $295.12 | $562.34 |
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 $199.53 Median $288.40 Typical High $288.40 | Professional | 27 · Multiple hospital visits | $199.53 | $288.40 | $288.40 |
Where Virginia sits
The same service costs 9.1 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· 16th of 51
$389
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.