How much rates vary
Facilitymedian $355 · 10th to 90th $66 to $1,023Professionalmedian $372 · 10th to 90th $282 to $501
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 $346.74 Median $389.05 Typical High $630.96 | Facility | None | $346.74 | $389.05 | $630.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $83.18 Typical High $102.33 | Facility | 26 · Professional part | $52.48 | $83.18 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $524.81 | Facility | TC · Technical part | $281.84 | $302.00 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $489.78 | Professional | None (both parts) | $346.74 | $346.74 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $85.11 | Professional | 26 · Professional part | $52.48 | $61.66 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $281.84 Typical High $407.38 | Professional | TC · Technical part | $275.42 | $281.84 | $407.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $380.19 Typical High $467.74 | Professional | None (both parts) | $316.23 | $380.19 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $74.13 | Professional | 26 · Professional part | $50.12 | $60.26 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $323.59 Typical High $389.05 | Professional | TC · Technical part | $269.15 | $323.59 | $389.05 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $53.70 Median $354.81 Typical High $398.11 | Professional | None (both parts) | $53.70 | $354.81 | $398.11 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $64.57 | Professional | 26 · Professional part | $58.88 | $58.88 | $64.57 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $302.00 | $302.00 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $758.58 Typical High $870.96 | Facility | None | $223.87 | $758.58 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $645.65 | Professional | None (both parts) | $281.84 | $354.81 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $102.33 | Professional | 26 · Professional part | $50.12 | $63.10 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $295.12 Typical High $537.03 | Professional | TC · Technical part | $208.93 | $295.12 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $562.34 | Professional | None | $380.19 | $446.68 | $562.34 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $79.43 | Professional | 26 · Professional part | $54.95 | $64.57 | $79.43 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $380.19 Typical High $478.63 | Professional | TC · Technical part | $316.23 | $380.19 | $478.63 |
Medcost Setting Professional Modifier None Typical Low $213.80 Median $338.84 Typical High $338.84 | Professional | None | $213.80 | $338.84 | $338.84 |
Medcost Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $588.84 | Facility | None | $331.13 | $331.13 | $588.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $151.36 Median $263.03 Typical High $269.15 | Professional | None (both parts) | $151.36 | $263.03 | $269.15 |
Sentara Setting Facility Modifier None Typical Low $60.26 Median $302.00 Typical High $1,380.38 | Facility | None | $60.26 | $302.00 | $1,380.38 |
Sentara Setting Professional Modifier None (both parts) Typical Low $74.13 Median $363.08 Typical High $707.95 | Professional | None (both parts) | $74.13 | $363.08 | $707.95 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $56.23 | $74.13 | $109.65 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $407.38 Typical High $645.65 | Professional | TC · Technical part | $234.42 | $407.38 | $645.65 |
United Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $1,000.00 | Facility | None | $407.38 | $446.68 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $194.98 | $338.84 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $66.07 Typical High $112.20 | Professional | 26 · Professional part | $45.71 | $66.07 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $275.42 Typical High $537.03 | Professional | TC · Technical part | $154.88 | $275.42 | $537.03 |
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 $169.82 Median $169.82 Typical High $177.83 | Professional | 52 · Reduced service | $169.82 | $169.82 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | 53 · Discontinued | $69.18 | $69.18 | $70.79 |
Where Virginia sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 28th of 51
$372
AK $776NM $240
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.