How much rates vary
Facilitymedian $537 · 10th to 90th $200 to $1,622Professionalmedian $724 · 10th to 90th $437 to $933
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 $616.60 Median $616.60 Typical High $676.08 | Facility | None | $616.60 | $616.60 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $676.08 | Professional | None (both parts) | $616.60 | $616.60 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $208.93 | $245.47 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $467.74 | Professional | TC · Technical part | $371.54 | $371.54 | $467.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $630.96 Median $758.58 Typical High $933.25 | Professional | None (both parts) | $630.96 | $758.58 | $933.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $239.88 Typical High $288.40 | Professional | 26 · Professional part | $199.53 | $239.88 | $288.40 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $524.81 Typical High $630.96 | Professional | TC · Technical part | $436.52 | $524.81 | $630.96 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $213.80 Median $562.34 Typical High $794.33 | Professional | None (both parts) | $213.80 | $562.34 | $794.33 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $251.19 | Professional | 26 · Professional part | $234.42 | $234.42 | $251.19 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $645.65 Typical High $812.83 | Professional | TC · Technical part | $371.54 | $645.65 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $776.25 Typical High $1,230.27 | Facility | None | $676.08 | $776.25 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $691.83 Typical High $1,096.48 | Professional | None (both parts) | $426.58 | $691.83 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $251.19 Typical High $407.38 | Professional | 26 · Professional part | $199.53 | $251.19 | $407.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $478.63 Typical High $741.31 | Professional | TC · Technical part | $138.04 | $478.63 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,096.48 | Professional | None | $758.58 | $891.25 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $245.47 Typical High $309.03 | Professional | 26 · Professional part | $208.93 | $245.47 | $309.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $630.96 Typical High $794.33 | Professional | TC · Technical part | $524.81 | $630.96 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $346.74 Median $489.78 Typical High $549.54 | Professional | None | $346.74 | $489.78 | $549.54 |
Medcost Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $1,047.13 | Facility | None | $537.03 | $537.03 | $1,047.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $416.87 Median $478.63 Typical High $512.86 | Professional | None (both parts) | $416.87 | $478.63 | $512.86 |
Sentara Setting Facility Modifier None Typical Low $190.55 Median $478.63 Typical High $1,584.89 | Facility | None | $190.55 | $478.63 | $1,584.89 |
Sentara Setting Professional Modifier None (both parts) Typical Low $234.42 Median $537.03 Typical High $1,148.15 | Professional | None (both parts) | $234.42 | $537.03 | $1,148.15 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $295.12 Typical High $436.52 | Professional | 26 · Professional part | $190.55 | $295.12 | $436.52 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $501.19 Typical High $851.14 | Professional | TC · Technical part | $223.87 | $501.19 | $851.14 |
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 $316.23 Median $575.44 Typical High $1,122.02 | Professional | None (both parts) | $316.23 | $575.44 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $263.03 Typical High $446.68 | Professional | 26 · Professional part | $177.83 | $263.03 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $346.74 Typical High $691.83 | Professional | TC · Technical part | $123.03 | $346.74 | $691.83 |
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 $302.00 Median $302.00 Typical High $338.84 | Professional | 52 · Reduced service | $302.00 | $302.00 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $134.90 | Professional | 53 · Discontinued | $123.03 | $123.03 | $134.90 |
Where Virginia sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 20th of 51
$724
AK $1,445KY $447
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.