How much rates vary
Facilitymedian $275 · 10th to 90th $66 to $776Professionalmedian $251 · 10th to 90th $195 to $339
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 $302.00 Median $302.00 Typical High $309.03 | Facility | None | $302.00 | $302.00 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $309.03 | Professional | None (both parts) | $302.00 | $302.00 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $186.21 | Professional | TC · Technical part | $181.97 | $181.97 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $251.19 | Professional | None (both parts) | $194.98 | $229.09 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $89.13 Typical High $147.91 | Professional | 26 · Professional part | $53.70 | $89.13 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $208.93 Typical High $263.03 | Professional | TC · Technical part | $125.89 | $208.93 | $263.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $245.47 Median $338.84 Typical High $363.08 | Professional | None (both parts) | $245.47 | $338.84 | $363.08 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $158.49 | $177.83 | $177.83 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $165.96 | Professional | TC · Technical part | $144.54 | $158.49 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $645.65 | Facility | None | $398.11 | $501.19 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $338.84 Typical High $446.68 | Professional | None (both parts) | $295.12 | $338.84 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $128.82 Typical High $186.21 | Professional | 26 · Professional part | $117.49 | $128.82 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $213.80 Typical High $281.84 | Professional | TC · Technical part | $181.97 | $213.80 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $363.08 Typical High $467.74 | Professional | None | $316.23 | $363.08 | $467.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $141.25 Typical High $181.97 | Professional | 26 · Professional part | $120.23 | $141.25 | $181.97 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $281.84 | Professional | TC · Technical part | $190.55 | $218.78 | $281.84 |
Medcost Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $331.13 | Professional | None (both parts) | $208.93 | $251.19 | $331.13 |
Sentara Setting Facility Modifier None Typical Low $66.07 Median $223.87 Typical High $776.25 | Facility | None | $66.07 | $223.87 | $776.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $91.20 Median $204.17 Typical High $446.68 | Professional | None (both parts) | $91.20 | $204.17 | $446.68 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $114.82 Typical High $177.83 | Professional | 26 · Professional part | $35.48 | $114.82 | $177.83 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $288.40 | Professional | TC · Technical part | $123.03 | $190.55 | $288.40 |
United Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $1,737.80 | Facility | None | $707.95 | $776.25 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $263.03 Typical High $457.09 | Professional | None (both parts) | $204.17 | $263.03 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $102.33 Typical High $177.83 | Professional | 26 · Professional part | $77.62 | $102.33 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $128.82 | $158.49 | $275.42 |
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 $151.36 Median $151.36 Typical High $154.88 | Professional | 52 · Reduced service | $151.36 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | 53 · Discontinued | $60.26 | $60.26 | $61.66 |
Where Virginia sits
The same service costs 9.8 times more in Alaska than in New York. 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· 45th of 51
$251
AK $631NY $64.57
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.