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 $3,162.28 Median $3,548.13 Typical High $9,772.37 | Facility | None | $3,162.28 | $3,548.13 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,548.13 | Professional | None | $3,162.28 | $3,162.28 | $3,548.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $15,848.93 Median $20,417.38 Typical High $25,703.96 | Facility | None | $15,848.93 | $20,417.38 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $2,884.03 | Professional | None | $208.93 | $208.93 | $2,884.03 |
CareFirst Setting Professional Modifier None Typical Low $3,019.95 Median $3,311.31 Typical High $3,981.07 | Professional | None | $3,019.95 | $3,311.31 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $4,265.80 Median $6,606.93 Typical High $10,000.00 | Facility | None | $4,265.80 | $6,606.93 | $10,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,981.07 Median $4,570.88 Typical High $5,888.44 | Professional | None | $3,981.07 | $4,570.88 | $5,888.44 |
Medcost Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,370.32 | $5,370.32 | $5,370.32 |
Medcost Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $4,168.69 | Professional | None | $2,691.53 | $2,691.53 | $4,168.69 |
Sentara Setting Facility Modifier None Typical Low $2,951.21 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,951.21 | $5,128.61 | $9,549.93 |
Sentara Setting Professional Modifier None Typical Low $3,090.30 Median $4,786.30 Typical High $7,762.47 | Professional | None | $3,090.30 | $4,786.30 | $7,762.47 |
United Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,511.89 Typical High $5,754.40 | Professional | None | $1,737.80 | $2,511.89 | $5,754.40 |
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 $1,584.89 Median $1,584.89 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,584.89 | $1,584.89 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $630.96 Typical High $707.95 | Professional | 53 · Discontinued | $630.96 | $630.96 | $707.95 |
Where Virginia sits
The same service costs 67.6 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· 35th of 51
$3,020
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.