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 $309.03 Median $389.05 Typical High $1,071.52 | Facility | None | $309.03 | $389.05 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $389.05 | Professional | None (both parts) | $309.03 | $309.03 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $1,995.26 | Facility | None | $407.38 | $407.38 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $281.84 | Professional | None (both parts) | $81.28 | $81.28 | $281.84 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $331.13 Median $371.54 Typical High $436.52 | Professional | None (both parts) | $331.13 | $371.54 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $794.33 Typical High $1,230.27 | Facility | None | $416.87 | $794.33 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $575.44 | Professional | None | $389.05 | $446.68 | $575.44 |
Medcost Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $812.83 | Facility | None | $616.60 | $616.60 | $812.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $295.12 | $295.12 | $457.09 |
Sentara Setting Facility Modifier None Typical Low $288.40 Median $512.86 Typical High $691.83 | Facility | None | $288.40 | $512.86 | $691.83 |
Sentara Setting Professional Modifier None (both parts) Typical Low $288.40 Median $562.34 Typical High $794.33 | Professional | None (both parts) | $288.40 | $562.34 | $794.33 |
United Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $245.47 Typical High $575.44 | Professional | None (both parts) | $173.78 | $245.47 | $575.44 |
1 more rate 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 $309.03 Median $309.03 Typical High $389.05 | Professional | 26 · Professional part | $309.03 | $309.03 | $389.05 |
Where Virginia sits
The same service costs 11.7 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· 38th of 51
$282
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.