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 $575.44 Median $645.65 Typical High $1,778.28 | Facility | None | $575.44 | $645.65 | $1,778.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $645.65 | Professional | None (both parts) | $575.44 | $575.44 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $4,677.35 | Facility | None | $2,884.03 | $3,715.35 | $4,677.35 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $524.81 | Professional | None (both parts) | $169.82 | $169.82 | $524.81 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $549.54 Median $602.56 Typical High $724.44 | Professional | None (both parts) | $549.54 | $602.56 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,258.93 Typical High $1,862.09 | Facility | None | $776.25 | $1,258.93 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $1,071.52 | Professional | None | $724.44 | $831.76 | $1,071.52 |
Medcost Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Medcost Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $758.58 | Professional | None (both parts) | $489.78 | $489.78 | $758.58 |
Sentara Setting Facility Modifier None Typical Low $537.03 Median $933.25 Typical High $1,819.70 | Facility | None | $537.03 | $933.25 | $1,819.70 |
Sentara Setting Professional Modifier None (both parts) Typical Low $691.83 Median $870.96 Typical High $1,479.11 | Professional | None (both parts) | $691.83 | $870.96 | $1,479.11 |
United Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $457.09 Typical High $1,047.13 | Professional | None (both parts) | $316.23 | $457.09 | $1,047.13 |
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 $575.44 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $281.84 Typical High $323.59 | Professional | 52 · Reduced service | $281.84 | $281.84 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $128.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $128.82 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $870.96 Typical High $1,412.54 | Professional | TC · Technical part | $758.58 | $870.96 | $1,412.54 |
Where Virginia sits
The same service costs 12.0 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· 36th of 51
$550
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.