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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $33.11 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $10.00 | $36.31 | $36.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $66.07 Typical High $83.18 | Professional | None (both parts) | $64.57 | $66.07 | $83.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $63.10 Median $70.79 Typical High $83.18 | Professional | None (both parts) | $63.10 | $70.79 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $56.23 | Professional | None | $38.02 | $44.67 | $56.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.18 Typical High $16.60 | Professional | 26 · Professional part | $11.75 | $13.18 | $16.60 |
Medcost Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $81.28 | Facility | None | $63.10 | $63.10 | $81.28 |
Medcost Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $42.66 | $42.66 | $42.66 |
Sentara Setting Facility Modifier None Typical Low $12.02 Median $33.88 Typical High $102.33 | Facility | None | $12.02 | $33.88 | $102.33 |
Sentara Setting Professional Modifier None (both parts) Typical Low $15.49 Median $38.90 Typical High $70.79 | Professional | None (both parts) | $15.49 | $38.90 | $70.79 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.30 Typical High $38.90 | Professional | 26 · Professional part | $12.02 | $12.30 | $38.90 |
3 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 TC · Technical part Typical Low $22.39 Median $23.44 Typical High $24.55 | Professional | TC · Technical part | $22.39 | $23.44 | $24.55 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $39.81 | Professional | TC · Technical part | $26.30 | $31.62 | $39.81 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $28.84 Typical High $53.70 | Professional | TC · Technical part | $26.92 | $28.84 | $53.70 |
Where Virginia sits
The same service costs 9.5 times more in Texas than in West Virginia. 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· 21st of 51
$64.57
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.