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 $602.56 Median $676.08 Typical High $1,862.09 | Facility | None | $602.56 | $676.08 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $676.08 | Professional | None | $602.56 | $602.56 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $3,890.45 Typical High $4,897.79 | Facility | None | $3,019.95 | $3,890.45 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $549.54 | Professional | None | $239.88 | $239.88 | $549.54 |
CareFirst Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $741.31 | Professional | None | $575.44 | $630.96 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,258.93 Typical High $1,905.46 | Facility | None | $812.83 | $1,258.93 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $870.96 Typical High $1,122.02 | Professional | None | $758.58 | $870.96 | $1,122.02 |
Medcost Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $794.33 | Professional | None | $512.86 | $512.86 | $794.33 |
Sentara Setting Facility Modifier None Typical Low $562.34 Median $977.24 Typical High $1,819.70 | Facility | None | $562.34 | $977.24 | $1,819.70 |
Sentara Setting Professional Modifier None Typical Low $588.84 Median $912.01 Typical High $1,479.11 | Professional | None | $588.84 | $912.01 | $1,479.11 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
United Setting Professional Modifier None Typical Low $331.13 Median $478.63 Typical High $1,096.48 | Professional | None | $331.13 | $478.63 | $1,096.48 |
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 $295.12 Median $295.12 Typical High $338.84 | Professional | 52 · Reduced service | $295.12 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $134.90 | Professional | 53 · Discontinued | $120.23 | $120.23 | $134.90 |
Where Virginia sits
The same service costs 12.0 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· 36th of 51
$575
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.