How much rates vary
Facilitymedian $1,023 · 10th to 90th $145 to $2,570Professionalmedian $1,047 · 10th to 90th $832 to $1,445
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 $954.99 Median $1,174.90 Typical High $2,290.87 | Facility | None | $954.99 | $1,174.90 | $2,290.87 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $831.76 Median $1,023.29 Typical High $3,162.28 | Facility | TC · Technical part | $831.76 | $1,023.29 | $3,162.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $1,380.38 | Professional | None (both parts) | $954.99 | $954.99 | $1,380.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $134.90 Typical High $165.96 | Professional | 26 · Professional part | $112.20 | $134.90 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $1,174.90 | Professional | TC · Technical part | $831.76 | $831.76 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,071.52 Typical High $1,288.25 | Professional | None (both parts) | $891.25 | $1,071.52 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $131.83 Typical High $158.49 | Professional | 26 · Professional part | $109.65 | $131.83 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $933.25 Typical High $1,122.02 | Professional | TC · Technical part | $776.25 | $933.25 | $1,122.02 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $134.90 Median $1,047.13 Typical High $1,174.90 | Professional | None (both parts) | $134.90 | $1,047.13 | $1,174.90 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $154.88 | Professional | 26 · Professional part | $120.23 | $120.23 | $154.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,023.29 Typical High $1,023.29 | Professional | TC · Technical part | $933.25 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,202.26 Typical High $2,570.40 | Facility | None | $812.83 | $1,202.26 | $2,570.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,148.15 Typical High $1,862.09 | Professional | None (both parts) | $933.25 | $1,148.15 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $141.25 Typical High $229.09 | Professional | 26 · Professional part | $107.15 | $141.25 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,000.00 Typical High $1,621.81 | Professional | TC · Technical part | $831.76 | $1,000.00 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $1,479.11 | Professional | None | $1,000.00 | $1,174.90 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $131.83 Typical High $165.96 | Professional | 26 · Professional part | $112.20 | $131.83 | $165.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,047.13 Typical High $1,318.26 | Professional | TC · Technical part | $870.96 | $1,047.13 | $1,318.26 |
Medcost Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Medcost Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,621.81 | Facility | None | $1,412.54 | $1,412.54 | $1,621.81 |
Medcost Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $1,174.90 | Professional | None (both parts) | $724.44 | $724.44 | $1,174.90 |
Sentara Setting Facility Modifier None Typical Low $141.25 Median $1,000.00 Typical High $3,388.44 | Facility | None | $141.25 | $1,000.00 | $3,388.44 |
Sentara Setting Professional Modifier None (both parts) Typical Low $162.18 Median $1,174.90 Typical High $1,778.28 | Professional | None (both parts) | $162.18 | $1,174.90 | $1,778.28 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $162.18 Typical High $239.88 | Professional | 26 · Professional part | $125.89 | $162.18 | $239.88 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,122.02 Typical High $1,698.24 | Professional | TC · Technical part | $891.25 | $1,122.02 | $1,698.24 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,778.28 Typical High $3,981.07 | Facility | None | $1,621.81 | $1,778.28 | $3,981.07 |
United Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,230.27 Typical High $1,949.84 | Professional | None (both parts) | $812.83 | $1,230.27 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $154.88 Typical High $257.04 | Professional | 26 · Professional part | $104.71 | $154.88 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,047.13 Typical High $1,698.24 | Professional | TC · Technical part | $707.95 | $1,047.13 | $1,698.24 |
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 $478.63 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $190.55 | $190.55 | $190.55 |
Where Virginia sits
The same service costs 2.9 times more in Alaska than in Texas. 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· 35th of 51
$1,047
AK $2,138TX $741
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.