How much rates vary
Facilitymedian $363 · 10th to 90th $89 to $1,000Professionalmedian $295 · 10th to 90th $245 to $479
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 $371.54 Typical High $501.19 | Facility | None | $269.15 | $371.54 | $501.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $51.29 Median $95.50 Typical High $165.96 | Facility | 26 · Professional part | $51.29 | $95.50 | $165.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $245.47 Typical High $407.38 | Facility | TC · Technical part | $218.78 | $245.47 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $263.03 | $295.12 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $128.82 | Professional | 26 · Professional part | $51.29 | $61.66 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $234.42 Typical High $371.54 | Professional | TC · Technical part | $199.53 | $234.42 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $295.12 Typical High $354.81 | Professional | None (both parts) | $245.47 | $295.12 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $75.86 | Professional | 26 · Professional part | $50.12 | $60.26 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $234.42 Typical High $281.84 | Professional | TC · Technical part | $194.98 | $234.42 | $281.84 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $269.15 Median $295.12 Typical High $346.74 | Professional | None (both parts) | $269.15 | $295.12 | $346.74 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $51.29 | $57.54 | $57.54 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $239.88 Typical High $269.15 | Professional | TC · Technical part | $213.80 | $239.88 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $707.95 Typical High $1,202.26 | Facility | None | $426.58 | $707.95 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $309.03 Typical High $562.34 | Professional | None (both parts) | $257.04 | $309.03 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $125.89 | Professional | 26 · Professional part | $52.48 | $61.66 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $245.47 Typical High $426.58 | Professional | TC · Technical part | $199.53 | $245.47 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $380.19 | Professional | None | $257.04 | $302.00 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $75.86 | Professional | 26 · Professional part | $48.98 | $57.54 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $302.00 | Professional | TC · Technical part | $204.17 | $245.47 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $407.38 Median $512.86 Typical High $512.86 | Professional | None | $407.38 | $512.86 | $512.86 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $114.82 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $501.19 Median $524.81 Typical High $524.81 | Facility | None | $501.19 | $524.81 | $524.81 |
Medcost Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $204.17 | Professional | None (both parts) | $109.65 | $109.65 | $204.17 |
Sentara Setting Facility Modifier None Typical Low $70.79 Median $309.03 Typical High $1,047.13 | Facility | None | $70.79 | $309.03 | $1,047.13 |
Sentara Setting Professional Modifier None (both parts) Typical Low $89.13 Median $338.84 Typical High $549.54 | Professional | None (both parts) | $89.13 | $338.84 | $549.54 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $97.72 Typical High $134.90 | Professional | 26 · Professional part | $61.66 | $97.72 | $134.90 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $281.84 Typical High $426.58 | Professional | TC · Technical part | $204.17 | $281.84 | $426.58 |
United Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $1,096.48 | Facility | None | $446.68 | $501.19 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $354.81 Typical High $616.60 | Professional | None (both parts) | $223.87 | $354.81 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $79.43 Typical High $131.83 | Professional | 26 · Professional part | $46.77 | $79.43 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $275.42 Typical High $489.78 | Professional | TC · Technical part | $177.83 | $275.42 | $489.78 |
3 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 $128.82 Median $141.25 Typical High $147.91 | Professional | 52 · Reduced service | $128.82 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $57.54 Typical High $58.88 | Professional | 53 · Discontinued | $51.29 | $57.54 | $58.88 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $295.12 Median $363.08 Typical High $363.08 | Professional | 27 · Multiple hospital visits | $295.12 | $363.08 | $363.08 |
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· 37th of 51
$295
MN $676UT $204
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.