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 $457.09 Median $512.86 Typical High $1,412.54 | Facility | None | $457.09 | $512.86 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $512.86 | Professional | None (both parts) | $457.09 | $457.09 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $2,951.21 Typical High $3,801.89 | Facility | None | $2,344.23 | $2,951.21 | $3,801.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $416.87 | Professional | None (both parts) | $109.65 | $109.65 | $416.87 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $436.52 Median $489.78 Typical High $575.44 | Professional | None (both parts) | $436.52 | $489.78 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,023.29 Typical High $1,513.56 | Facility | None | $616.60 | $1,023.29 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $851.14 | Professional | None | $575.44 | $676.08 | $851.14 |
Medcost Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Medcost Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $602.56 | Professional | None (both parts) | $398.11 | $398.11 | $602.56 |
Sentara Setting Facility Modifier None Typical Low $436.52 Median $741.31 Typical High $1,445.44 | Facility | None | $436.52 | $741.31 | $1,445.44 |
Sentara Setting Professional Modifier None (both parts) Typical Low $562.34 Median $691.83 Typical High $1,174.90 | Professional | None (both parts) | $562.34 | $691.83 | $1,174.90 |
United Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $363.08 Typical High $851.14 | Professional | None (both parts) | $257.04 | $363.08 | $851.14 |
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 $457.09 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $257.04 | Professional | 52 · Reduced service | $229.09 | $229.09 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $102.33 | Professional | 53 · Discontinued | $91.20 | $91.20 | $102.33 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $691.83 Typical High $1,122.02 | Professional | TC · Technical part | $602.56 | $691.83 | $1,122.02 |
Where Virginia sits
The same service costs 47.9 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· 37th of 51
$437
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.