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 $2,187.76 Median $2,454.71 Typical High $6,760.83 | Facility | None | $2,187.76 | $2,454.71 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,454.71 | Professional | None | $2,187.76 | $2,187.76 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $11,220.18 Median $14,454.40 Typical High $18,197.01 | Facility | None | $11,220.18 | $14,454.40 | $18,197.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $1,995.26 | Professional | None | $208.93 | $208.93 | $1,995.26 |
CareFirst Setting Professional Modifier None Typical Low $2,089.30 Median $2,344.23 Typical High $2,754.23 | Professional | None | $2,089.30 | $2,344.23 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $4,570.88 Typical High $6,918.31 | Facility | None | $2,951.21 | $4,570.88 | $6,918.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,754.23 Median $3,235.94 Typical High $4,073.80 | Professional | None | $2,754.23 | $3,235.94 | $4,073.80 |
Medcost Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Medcost Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,951.21 | Professional | None | $1,905.46 | $1,905.46 | $2,951.21 |
Sentara Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $6,606.93 | Facility | None | $2,089.30 | $3,548.13 | $6,606.93 |
Sentara Setting Professional Modifier None Typical Low $2,187.76 Median $3,388.44 Typical High $5,370.32 | Professional | None | $2,187.76 | $3,388.44 | $5,370.32 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,737.80 Typical High $4,073.80 | Professional | None | $1,230.27 | $1,737.80 | $4,073.80 |
2 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 52 · Reduced service Typical Low $1,096.48 Median $1,096.48 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,096.48 | $1,096.48 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $501.19 | Professional | 53 · Discontinued | $436.52 | $436.52 | $501.19 |
Where Virginia sits
The same service costs 37.2 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
$2,089
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.