How much rates vary
Facilitymedian $437 · 10th to 90th $100 to $1,047Professionalmedian $468 · 10th to 90th $363 to $617
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 $426.58 Median $489.78 Typical High $758.58 | Facility | None | $426.58 | $489.78 | $758.58 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $79.43 Median $131.83 Typical High $162.18 | Facility | 26 · Professional part | $79.43 | $131.83 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $354.81 Typical High $602.56 | Facility | TC · Technical part | $331.13 | $354.81 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $426.58 Typical High $588.84 | Professional | None (both parts) | $407.38 | $426.58 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $134.90 | Professional | 26 · Professional part | $79.43 | $93.33 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $331.13 Typical High $478.63 | Professional | TC · Technical part | $323.59 | $331.13 | $478.63 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $407.38 Median $478.63 Typical High $588.84 | Professional | None (both parts) | $407.38 | $478.63 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $112.20 | Professional | 26 · Professional part | $75.86 | $91.20 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $389.05 Typical High $478.63 | Professional | TC · Technical part | $323.59 | $389.05 | $478.63 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $416.87 Median $457.09 Typical High $501.19 | Professional | None (both parts) | $416.87 | $457.09 | $501.19 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $81.28 | $89.13 | $89.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $457.09 | Professional | TC · Technical part | $371.54 | $371.54 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $812.83 Typical High $933.25 | Facility | None | $223.87 | $812.83 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $446.68 Typical High $794.33 | Professional | None (both parts) | $363.08 | $446.68 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $97.72 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $363.08 Typical High $630.96 | Professional | TC · Technical part | $245.47 | $363.08 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $562.34 Typical High $691.83 | Professional | None | $467.74 | $562.34 | $691.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $120.23 | Professional | 26 · Professional part | $83.18 | $97.72 | $120.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $457.09 Typical High $575.44 | Professional | TC · Technical part | $389.05 | $457.09 | $575.44 |
Medcost Setting Professional Modifier None Typical Low $281.84 Median $380.19 Typical High $380.19 | Professional | None | $281.84 | $380.19 | $380.19 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $724.44 | Facility | None | $407.38 | $407.38 | $724.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $173.78 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $173.78 | $323.59 | $323.59 |
Sentara Setting Facility Modifier None Typical Low $93.33 Median $363.08 Typical High $1,445.44 | Facility | None | $93.33 | $363.08 | $1,445.44 |
Sentara Setting Professional Modifier None (both parts) Typical Low $112.20 Median $426.58 Typical High $851.14 | Professional | None (both parts) | $112.20 | $426.58 | $851.14 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $79.43 | $114.82 | $173.78 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $478.63 Typical High $758.58 | Professional | TC · Technical part | $269.15 | $478.63 | $758.58 |
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 $239.88 Median $416.87 Typical High $794.33 | Professional | None (both parts) | $239.88 | $416.87 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $104.71 Typical High $173.78 | Professional | 26 · Professional part | $70.79 | $104.71 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $323.59 Typical High $630.96 | Professional | TC · Technical part | $173.78 | $323.59 | $630.96 |
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 $213.80 Median $213.80 Typical High $218.78 | Professional | 52 · Reduced service | $213.80 | $213.80 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | 53 · Discontinued | $85.11 | $85.11 | $87.10 |
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· 26th of 51
$468
AK $977NM $302
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.