How much rates vary
Facilitymedian $389 · 10th to 90th $69 to $851Professionalmedian $407 · 10th to 90th $295 to $550
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 $354.81 Median $446.68 Typical High $660.69 | Facility | None | $354.81 | $446.68 | $660.69 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $83.18 Typical High $104.71 | Facility | 26 · Professional part | $52.48 | $83.18 | $104.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $363.08 Typical High $575.44 | Facility | TC · Technical part | $257.04 | $363.08 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $380.19 Typical High $562.34 | Professional | None (both parts) | $354.81 | $380.19 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $89.13 | Professional | 26 · Professional part | $52.48 | $61.66 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $323.59 Typical High $478.63 | Professional | TC · Technical part | $295.12 | $323.59 | $478.63 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $363.08 Median $426.58 Typical High $524.81 | Professional | None (both parts) | $363.08 | $426.58 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $74.13 | Professional | 26 · Professional part | $51.29 | $60.26 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $371.54 Typical High $446.68 | Professional | TC · Technical part | $309.03 | $371.54 | $446.68 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $58.88 Median $380.19 Typical High $446.68 | Professional | None (both parts) | $58.88 | $380.19 | $446.68 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $66.07 | Professional | 26 · Professional part | $53.70 | $53.70 | $66.07 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $457.09 Typical High $588.84 | Professional | TC · Technical part | $302.00 | $457.09 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $676.08 Typical High $794.33 | Facility | None | $223.87 | $676.08 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $389.05 Typical High $676.08 | Professional | None (both parts) | $263.03 | $389.05 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $102.33 | Professional | 26 · Professional part | $50.12 | $64.57 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $338.84 Typical High $588.84 | Professional | TC · Technical part | $190.55 | $338.84 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $478.63 Typical High $602.56 | Professional | None | $407.38 | $478.63 | $602.56 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $52.48 | $61.66 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $416.87 Typical High $524.81 | Professional | TC · Technical part | $354.81 | $416.87 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $199.53 Median $309.03 Typical High $309.03 | Professional | None | $199.53 | $309.03 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $660.69 | Facility | None | $302.00 | $302.00 | $660.69 |
Medcost Setting Professional Modifier None (both parts) Typical Low $134.90 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $134.90 | $245.47 | $288.40 |
Sentara Setting Facility Modifier None Typical Low $63.10 Median $363.08 Typical High $1,023.29 | Facility | None | $63.10 | $363.08 | $1,023.29 |
Sentara Setting Professional Modifier None (both parts) Typical Low $74.13 Median $363.08 Typical High $794.33 | Professional | None (both parts) | $74.13 | $363.08 | $794.33 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $52.48 | $74.13 | $109.65 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $416.87 Typical High $724.44 | Professional | TC · Technical part | $213.80 | $416.87 | $724.44 |
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 $177.83 Median $354.81 Typical High $707.95 | Professional | None (both parts) | $177.83 | $354.81 | $707.95 |
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 $138.04 Median $302.00 Typical High $602.56 | Professional | TC · Technical part | $138.04 | $302.00 | $602.56 |
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 $186.21 Median $190.55 Typical High $194.98 | Professional | 52 · Reduced service | $186.21 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $75.86 Typical High $77.62 | Professional | 53 · Discontinued | $74.13 | $75.86 | $77.62 |
Where Virginia sits
The same service costs 3.0 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
$407
AK $794NM $269
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.