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 $537.03 Median $616.60 Typical High $1,659.59 | Facility | None | $537.03 | $616.60 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $616.60 | Professional | None (both parts) | $537.03 | $537.03 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $3,548.13 Typical High $4,466.84 | Facility | None | $2,754.23 | $3,548.13 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $501.19 | Professional | None (both parts) | $229.09 | $229.09 | $501.19 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $512.86 Median $575.44 Typical High $676.08 | Professional | None (both parts) | $512.86 | $575.44 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,202.26 Typical High $1,778.28 | Facility | None | $741.31 | $1,202.26 | $1,778.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $794.33 Typical High $1,000.00 | Professional | None | $691.83 | $794.33 | $1,000.00 |
Medcost Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $724.44 | Professional | None (both parts) | $467.74 | $467.74 | $724.44 |
Sentara Setting Facility Modifier None Typical Low $512.86 Median $870.96 Typical High $1,819.70 | Facility | None | $512.86 | $870.96 | $1,819.70 |
Sentara Setting Professional Modifier None (both parts) Typical Low $616.60 Median $831.76 Typical High $1,380.38 | Professional | None (both parts) | $616.60 | $831.76 | $1,380.38 |
United Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $436.52 Typical High $1,000.00 | Professional | None (both parts) | $302.00 | $436.52 | $1,000.00 |
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 $537.03 Median $537.03 Typical High $588.84 | Professional | 26 · Professional part | $537.03 | $537.03 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $269.15 Typical High $323.59 | Professional | 52 · Reduced service | $269.15 | $269.15 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | 53 · Discontinued | $107.15 | $107.15 | $128.82 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $831.76 Typical High $1,318.26 | Professional | TC · Technical part | $660.69 | $831.76 | $1,318.26 |
Where Virginia sits
The same service costs 10.2 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
$513
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.