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 $2,630.27 Median $2,951.21 Typical High $8,128.31 | Facility | None | $2,630.27 | $2,951.21 | $8,128.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $2,630.27 Typical High $2,951.21 | Professional | None (both parts) | $2,630.27 | $2,630.27 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $13,182.57 Median $16,982.44 Typical High $21,379.62 | Facility | None | $13,182.57 | $16,982.44 | $21,379.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $2,398.83 | Professional | None (both parts) | $199.53 | $199.53 | $2,398.83 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,818.38 Typical High $3,311.31 | Professional | None (both parts) | $2,511.89 | $2,818.38 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $5,888.44 Typical High $8,709.64 | Facility | None | $3,548.13 | $5,888.44 | $8,709.64 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,311.31 Median $3,801.89 Typical High $4,897.79 | Professional | None | $3,311.31 | $3,801.89 | $4,897.79 |
Medcost Setting Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $2,290.87 Typical High $3,467.37 | Professional | None (both parts) | $2,290.87 | $2,290.87 | $3,467.37 |
Sentara Setting Facility Modifier None Typical Low $2,454.71 Median $3,981.07 Typical High $8,912.51 | Facility | None | $2,454.71 | $3,981.07 | $8,912.51 |
Sentara Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $3,981.07 Typical High $6,760.83 | Professional | None (both parts) | $2,454.71 | $3,981.07 | $6,760.83 |
United Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,089.30 Typical High $4,897.79 | Professional | None (both parts) | $1,479.11 | $2,089.30 | $4,897.79 |
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 26 · Professional part Typical Low $2,630.27 Median $2,630.27 Typical High $2,884.03 | Professional | 26 · Professional part | $2,630.27 | $2,630.27 | $2,884.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,318.26 Median $1,318.26 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,318.26 | $1,318.26 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $524.81 Typical High $588.84 | Professional | 53 · Discontinued | $524.81 | $524.81 | $588.84 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $3,467.37 Median $3,981.07 Typical High $6,456.54 | Professional | TC · Technical part | $3,467.37 | $3,981.07 | $6,456.54 |
Where Virginia sits
The same service costs 275.4 times more in Texas than in Alabama. 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· 33rd of 51
$2,455
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.