How much rates vary
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 $331.13 Median $501.19 Typical High $776.25 | Facility | None | $331.13 | $501.19 | $776.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $85.11 Typical High $104.71 | Facility | 26 · Professional part | $52.48 | $85.11 | $104.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $416.87 Typical High $676.08 | Facility | TC · Technical part | $234.42 | $416.87 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $446.68 Typical High $645.65 | Professional | None (both parts) | $407.38 | $446.68 | $645.65 |
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 $354.81 Median $389.05 Typical High $562.34 | Professional | TC · Technical part | $354.81 | $389.05 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $416.87 Median $489.78 Typical High $588.84 | Professional | None (both parts) | $416.87 | $489.78 | $588.84 |
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 $371.54 Median $446.68 Typical High $602.56 | Professional | TC · Technical part | $371.54 | $446.68 | $602.56 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $446.68 Median $512.86 Typical High $575.44 | Professional | None (both parts) | $446.68 | $512.86 | $575.44 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $53.70 | $58.88 | $58.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $407.38 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $794.33 Typical High $912.01 | Facility | None | $223.87 | $794.33 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $457.09 Typical High $794.33 | Professional | None (both parts) | $245.47 | $457.09 | $794.33 |
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 $177.83 Median $398.11 Typical High $707.95 | Professional | TC · Technical part | $177.83 | $398.11 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $707.95 | Professional | None | $478.63 | $562.34 | $707.95 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $77.62 | Professional | 26 · Professional part | $52.48 | $63.10 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $501.19 Typical High $630.96 | Professional | TC · Technical part | $416.87 | $501.19 | $630.96 |
Medcost Setting Professional Modifier None Typical Low $257.04 Median $346.74 Typical High $346.74 | Professional | None | $257.04 | $346.74 | $346.74 |
Medcost Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $776.25 | Facility | None | $323.59 | $323.59 | $776.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $104.71 Median $269.15 Typical High $338.84 | Professional | None (both parts) | $104.71 | $269.15 | $338.84 |
Sentara Setting Facility Modifier None Typical Low $64.57 Median $436.52 Typical High $1,148.15 | Facility | None | $64.57 | $436.52 | $1,148.15 |
Sentara Setting Professional Modifier None (both parts) Typical Low $74.13 Median $416.87 Typical High $870.96 | Professional | None (both parts) | $74.13 | $416.87 | $870.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $48.98 | $74.13 | $109.65 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $501.19 Typical High $870.96 | Professional | TC · Technical part | $239.88 | $501.19 | $870.96 |
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 $190.55 Median $416.87 Typical High $831.76 | Professional | None (both parts) | $190.55 | $416.87 | $831.76 |
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 $141.25 Median $363.08 Typical High $724.44 | Professional | TC · Technical part | $141.25 | $363.08 | $724.44 |
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 $218.78 Median $223.87 Typical High $229.09 | Professional | 52 · Reduced service | $218.78 | $223.87 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $87.10 | $91.20 | $91.20 |
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· 23rd of 51
$479
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.