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 $251.19 Median $281.84 Typical High $457.09 | Facility | None | $251.19 | $281.84 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $354.81 | Professional | None (both parts) | $251.19 | $281.84 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $51.29 | Professional | 26 · Professional part | $35.48 | $41.69 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $239.88 Typical High $309.03 | Professional | TC · Technical part | $218.78 | $239.88 | $309.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $338.84 | Professional | None (both parts) | $234.42 | $275.42 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $50.12 | Professional | 26 · Professional part | $34.67 | $41.69 | $50.12 |
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 $36.31 Median $251.19 Typical High $281.84 | Professional | None (both parts) | $36.31 | $251.19 | $281.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $56.23 | Professional | 26 · Professional part | $39.81 | $44.67 | $56.23 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $218.78 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $660.69 Typical High $1,230.27 | Facility | None | $426.58 | $660.69 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $239.88 | $288.40 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $64.57 | Professional | 26 · Professional part | $36.31 | $40.74 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $380.19 | Professional | TC · Technical part | $204.17 | $245.47 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $363.08 | Professional | None | $245.47 | $288.40 | $363.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $50.12 | Professional | 26 · Professional part | $33.88 | $39.81 | $50.12 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $309.03 | Professional | TC · Technical part | $208.93 | $251.19 | $309.03 |
Medcost Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Medcost Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $190.55 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $190.55 | $239.88 | $239.88 |
Sentara Setting Facility Modifier None Typical Low $42.66 Median $263.03 Typical High $977.24 | Facility | None | $42.66 | $263.03 | $977.24 |
Sentara Setting Professional Modifier None (both parts) Typical Low $47.86 Median $309.03 Typical High $501.19 | Professional | None (both parts) | $47.86 | $309.03 | $501.19 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $46.77 | $72.44 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $275.42 Typical High $436.52 | Professional | TC · Technical part | $239.88 | $275.42 | $436.52 |
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 $213.80 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $213.80 | $295.12 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $77.62 | Professional | 26 · Professional part | $30.90 | $40.74 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $257.04 Typical High $457.09 | Professional | TC · Technical part | $181.97 | $257.04 | $457.09 |
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 $123.03 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $123.03 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $50.12 | $56.23 | $56.23 |
Where Virginia sits
The same service costs 3.1 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· 38th of 51
$275
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.