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 $1,548.82 Median $1,778.28 Typical High $4,786.30 | Facility | None | $1,548.82 | $1,778.28 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,778.28 Typical High $1,862.09 | Professional | None | $1,548.82 | $1,778.28 | $1,862.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,943.28 Median $10,232.93 Typical High $12,882.50 | Facility | None | $7,943.28 | $10,232.93 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $1,174.90 Typical High $1,513.56 | Professional | None | $12.30 | $1,174.90 | $1,513.56 |
CareFirst Setting Professional Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,479.11 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $3,235.94 Typical High $5,011.87 | Facility | None | $2,137.96 | $3,235.94 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,951.21 | Professional | None | $2,398.83 | $2,398.83 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,089.30 Median $2,511.89 Typical High $3,090.30 | Professional | None | $2,089.30 | $2,511.89 | $3,090.30 |
Medcost Setting Facility Modifier None Typical Low $1,380.38 Median $1,778.28 Typical High $2,691.53 | Facility | None | $1,380.38 | $1,778.28 | $2,691.53 |
Medcost Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Sentara Setting Facility Modifier None Typical Low $1,445.44 Median $2,398.83 Typical High $3,981.07 | Facility | None | $1,445.44 | $2,398.83 | $3,981.07 |
Sentara Setting Professional Modifier None Typical Low $1,445.44 Median $2,398.83 Typical High $3,981.07 | Professional | None | $1,445.44 | $2,398.83 | $3,981.07 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $2,089.30 | Professional | None | $870.96 | $1,096.48 | $2,089.30 |
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 $776.25 Median $891.25 Typical High $933.25 | Professional | 52 · Reduced service | $776.25 | $891.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $354.81 Typical High $371.54 | Professional | 53 · Discontinued | $309.03 | $354.81 | $371.54 |
Where Virginia sits
The same service costs 354.8 times more in Wisconsin 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· 33rd of 51
$1,479
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.