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 $562.34 Median $630.96 Typical High $1,737.80 | Facility | None | $562.34 | $630.96 | $1,737.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $630.96 Typical High $660.69 | Professional | None (both parts) | $562.34 | $630.96 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $4,677.35 | Facility | None | $2,884.03 | $3,715.35 | $4,677.35 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $446.68 Typical High $575.44 | Professional | None (both parts) | $338.84 | $446.68 | $575.44 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $537.03 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $537.03 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,258.93 Typical High $1,862.09 | Facility | None | $758.58 | $1,258.93 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $870.96 Typical High $1,071.52 | Professional | None (both parts) | $309.03 | $870.96 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,122.02 | Professional | None | $758.58 | $891.25 | $1,122.02 |
Medcost Setting Facility Modifier None Typical Low $489.78 Median $630.96 Typical High $1,348.96 | Facility | None | $489.78 | $630.96 | $1,348.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $616.60 | $616.60 | $616.60 |
Sentara Setting Facility Modifier None Typical Low $537.03 Median $870.96 Typical High $1,698.24 | Facility | None | $537.03 | $870.96 | $1,698.24 |
Sentara Setting Professional Modifier None (both parts) Typical Low $537.03 Median $870.96 Typical High $1,698.24 | Professional | None (both parts) | $537.03 | $870.96 | $1,698.24 |
United Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $398.11 Typical High $758.58 | Professional | None (both parts) | $316.23 | $398.11 | $758.58 |
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 $281.84 Median $316.23 Typical High $331.13 | Professional | 52 · Reduced service | $281.84 | $316.23 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $128.82 Typical High $134.90 | Professional | 53 · Discontinued | $112.20 | $128.82 | $134.90 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $870.96 Typical High $1,071.52 | Professional | TC · Technical part | $524.81 | $870.96 | $1,071.52 |
Where Virginia sits
The same service costs 26.9 times more in Alaska 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
$550
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.