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 $478.63 Median $537.03 Typical High $1,479.11 | Facility | None | $478.63 | $537.03 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $537.03 | Professional | None (both parts) | $478.63 | $478.63 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $3,090.30 Typical High $3,890.45 | Facility | None | $2,398.83 | $3,090.30 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $436.52 | Professional | None (both parts) | $257.04 | $257.04 | $436.52 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $457.09 Median $512.86 Typical High $602.56 | Professional | None (both parts) | $457.09 | $512.86 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,071.52 Typical High $1,584.89 | Facility | None | $645.65 | $1,071.52 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $891.25 | Professional | None | $602.56 | $691.83 | $891.25 |
Medcost Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $630.96 | Professional | None (both parts) | $416.87 | $416.87 | $630.96 |
Sentara Setting Facility Modifier None Typical Low $457.09 Median $776.25 Typical High $1,513.56 | Facility | None | $457.09 | $776.25 | $1,513.56 |
Sentara Setting Professional Modifier None (both parts) Typical Low $588.84 Median $724.44 Typical High $1,230.27 | Professional | None (both parts) | $588.84 | $724.44 | $1,230.27 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $380.19 Typical High $891.25 | Professional | None (both parts) | $269.15 | $380.19 | $891.25 |
4 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 26 · Professional part Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 26 · Professional part | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $239.88 Typical High $269.15 | Professional | 52 · Reduced service | $239.88 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $107.15 | Professional | 53 · Discontinued | $95.50 | $95.50 | $107.15 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $724.44 Typical High $1,174.90 | Professional | TC · Technical part | $630.96 | $724.44 | $1,174.90 |
Where Virginia sits
The same service costs 11.7 times more in Texas than in New Mexico. 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· 37th of 51
$457
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.