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 $2,754.23 Median $2,754.23 Typical High $2,884.03 | Facility | None | $2,754.23 | $2,754.23 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,047.13 Typical High $2,884.03 | Professional | None (both parts) | $870.96 | $1,047.13 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,466.84 Median $5,754.40 Typical High $7,244.36 | Facility | None | $4,466.84 | $5,754.40 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $1,202.26 | Professional | None (both parts) | $288.40 | $288.40 | $1,202.26 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,380.38 Typical High $1,584.89 | Professional | None (both parts) | $1,258.93 | $1,380.38 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,884.03 Typical High $4,365.16 | Facility | None | $1,778.28 | $2,884.03 | $4,365.16 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,659.59 Median $1,905.46 Typical High $2,454.71 | Professional | None | $1,659.59 | $1,905.46 | $2,454.71 |
Medcost Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,174.90 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,174.90 |
Sentara Setting Facility Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $4,466.84 | Facility | None | $1,230.27 | $1,995.26 | $4,466.84 |
Sentara Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $2,137.96 Typical High $3,548.13 | Professional | None (both parts) | $1,122.02 | $2,137.96 | $3,548.13 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $489.78 Median $707.95 Typical High $1,621.81 | Professional | None (both parts) | $489.78 | $707.95 | $1,621.81 |
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 $1,000.00 Median $1,318.26 Typical High $1,380.38 | Professional | 26 · Professional part | $1,000.00 | $1,318.26 | $1,380.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $660.69 Typical High $707.95 | Professional | 52 · Reduced service | $501.19 | $660.69 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $263.03 Typical High $288.40 | Professional | 53 · Discontinued | $199.53 | $263.03 | $288.40 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $1,995.26 Typical High $3,235.94 | Professional | TC · Technical part | $1,621.81 | $1,995.26 | $3,235.94 |
Where Virginia sits
The same service costs 18.6 times more in Texas than in Ohio. 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· 32nd of 51
$1,175
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.