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 $295.12 Median $331.13 Typical High $912.01 | Facility | None | $295.12 | $331.13 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $331.13 Typical High $346.74 | Professional | None (both parts) | $295.12 | $331.13 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $2,398.83 | Facility | None | $1,479.11 | $1,905.46 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $6.46 Median $229.09 Typical High $288.40 | Professional | None (both parts) | $6.46 | $229.09 | $288.40 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $281.84 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $281.84 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $977.24 | Facility | None | $398.11 | $645.65 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $446.68 Typical High $562.34 | Professional | None (both parts) | $162.18 | $446.68 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $467.74 Typical High $575.44 | Professional | None | $389.05 | $467.74 | $575.44 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $331.13 Typical High $707.95 | Facility | None | $251.19 | $331.13 | $707.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Sentara Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $870.96 | Facility | None | $275.42 | $446.68 | $870.96 |
Sentara Setting Professional Modifier None (both parts) Typical Low $275.42 Median $446.68 Typical High $870.96 | Professional | None (both parts) | $275.42 | $446.68 | $870.96 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $389.05 | Professional | None (both parts) | $165.96 | $204.17 | $389.05 |
3 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 $147.91 Median $165.96 Typical High $173.78 | Professional | 52 · Reduced service | $147.91 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $66.07 Typical High $69.18 | Professional | 53 · Discontinued | $58.88 | $66.07 | $69.18 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $446.68 Typical High $562.34 | Professional | TC · Technical part | $275.42 | $446.68 | $562.34 |
Where Virginia sits
The same service costs 134.9 times more in Alaska than in Kentucky. 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· 38th of 51
$269
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.