How much rates vary
Facilitymedian $1,047 · 10th to 90th $234 to $2,884Professionalmedian $1,047 · 10th to 90th $234 to $1,738
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 $1,047.13 Median $1,047.13 Typical High $1,148.15 | Facility | None | $1,047.13 | $1,047.13 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $1,047.13 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $194.98 | $229.09 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $912.01 Typical High $912.01 | Professional | TC · Technical part | $851.14 | $912.01 | $912.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $870.96 Typical High $1,096.48 | Professional | None (both parts) | $213.80 | $870.96 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $208.93 Typical High $257.04 | Professional | 26 · Professional part | $177.83 | $208.93 | $257.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,000.00 Typical High $1,148.15 | Professional | TC · Technical part | $851.14 | $1,000.00 | $1,148.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $223.87 | Professional | None (both parts) | $173.78 | $173.78 | $223.87 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | 26 · Professional part | $190.55 | $190.55 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,949.84 Typical High $2,238.72 | Facility | None | $812.83 | $1,949.84 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,148.15 Typical High $1,905.46 | Professional | None (both parts) | $933.25 | $1,148.15 | $1,905.46 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $229.09 Typical High $380.19 | Professional | 26 · Professional part | $177.83 | $229.09 | $380.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $912.01 Typical High $1,513.56 | Professional | TC · Technical part | $758.58 | $912.01 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $1,548.82 | Professional | None | $1,023.29 | $1,230.27 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $234.42 Typical High $288.40 | Professional | 26 · Professional part | $199.53 | $234.42 | $288.40 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,000.00 Typical High $1,230.27 | Professional | TC · Technical part | $812.83 | $1,000.00 | $1,230.27 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $323.59 Typical High $331.13 | Professional | 26 · Professional part | $257.04 | $323.59 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,737.80 | Facility | None | $1,412.54 | $1,412.54 | $1,737.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $1,513.56 | Professional | None (both parts) | $776.25 | $776.25 | $1,513.56 |
Sentara Setting Facility Modifier None Typical Low $218.78 Median $977.24 Typical High $3,890.45 | Facility | None | $218.78 | $977.24 | $3,890.45 |
Sentara Setting Professional Modifier None (both parts) Typical Low $263.03 Median $1,071.52 Typical High $1,995.26 | Professional | None (both parts) | $263.03 | $1,071.52 | $1,995.26 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $269.15 Typical High $407.38 | Professional | 26 · Professional part | $173.78 | $269.15 | $407.38 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,096.48 Typical High $1,659.59 | Professional | TC · Technical part | $831.76 | $1,096.48 | $1,659.59 |
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 $436.52 Median $933.25 Typical High $2,344.23 | Professional | None (both parts) | $436.52 | $933.25 | $2,344.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $245.47 Typical High $416.87 | Professional | 26 · Professional part | $169.82 | $245.47 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $562.34 Typical High $2,041.74 | Professional | TC · Technical part | $251.19 | $562.34 | $2,041.74 |
4 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 $524.81 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $524.81 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $208.93 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $158.49 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $104.71 | $114.82 | $114.82 |
Where Virginia sits
The same service costs 11.2 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· 37th of 51
$1,047
AK $3,020KY $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.