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 $1,819.70 Median $2,089.30 Typical High $5,754.40 | Facility | None | $1,819.70 | $2,089.30 | $5,754.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $2,089.30 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,332.54 Median $12,022.64 Typical High $15,135.61 | Facility | None | $9,332.54 | $12,022.64 | $15,135.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $9.12 Median $9.12 Typical High $1,698.24 | Professional | None (both parts) | $9.12 | $9.12 | $1,698.24 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,949.84 Typical High $2,290.87 | Professional | None (both parts) | $1,778.28 | $1,949.84 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $4,073.80 Typical High $6,025.60 | Facility | None | $2,511.89 | $4,073.80 | $6,025.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,344.23 Median $2,691.53 Typical High $3,467.37 | Professional | None | $2,344.23 | $2,691.53 | $3,467.37 |
Medcost Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $2,454.71 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $2,454.71 |
Sentara Setting Facility Modifier None Typical Low $1,737.80 Median $2,951.21 Typical High $5,754.40 | Facility | None | $1,737.80 | $2,951.21 | $5,754.40 |
Sentara Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,818.38 Typical High $4,677.35 | Professional | None (both parts) | $2,238.72 | $2,818.38 | $4,677.35 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,479.11 Typical High $3,388.44 | Professional | None (both parts) | $1,023.29 | $1,479.11 | $3,388.44 |
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | 26 · Professional part | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $912.01 Typical High $1,047.13 | Professional | 52 · Reduced service | $912.01 | $912.01 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $416.87 | Professional | 53 · Discontinued | $363.08 | $363.08 | $416.87 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $2,454.71 Median $2,818.38 Typical High $4,570.88 | Professional | TC · Technical part | $2,454.71 | $2,818.38 | $4,570.88 |
Where Virginia sits
The same service costs 8.9 times more in Alaska 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· 36th of 51
$1,778
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.