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 $1,584.89 Median $1,819.70 Typical High $4,897.79 | Facility | None | $1,584.89 | $1,819.70 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $1,819.70 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $1,819.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,128.31 Median $10,471.29 Typical High $13,182.57 | Facility | None | $8,128.31 | $10,471.29 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $1,479.11 | Professional | None (both parts) | $21.38 | $21.38 | $1,479.11 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,698.24 Typical High $1,995.26 | Professional | None (both parts) | $1,513.56 | $1,698.24 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $3,548.13 Typical High $5,248.07 | Facility | None | $2,187.76 | $3,548.13 | $5,248.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $2,344.23 Typical High $2,951.21 | Professional | None | $2,041.74 | $2,344.23 | $2,951.21 |
Medcost Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,380.38 Typical High $2,137.96 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $2,137.96 |
Sentara Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $5,011.87 | Facility | None | $1,513.56 | $2,570.40 | $5,011.87 |
Sentara Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,454.71 Typical High $4,073.80 | Professional | None (both parts) | $1,949.84 | $2,454.71 | $4,073.80 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,288.25 Typical High $2,951.21 | Professional | None (both parts) | $891.25 | $1,288.25 | $2,951.21 |
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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | 26 · Professional part | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $794.33 Median $794.33 Typical High $912.01 | Professional | 52 · Reduced service | $794.33 | $794.33 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $363.08 | Professional | 53 · Discontinued | $316.23 | $316.23 | $363.08 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $2,137.96 Median $2,454.71 Typical High $3,981.07 | Professional | TC · Technical part | $2,137.96 | $2,454.71 | $3,981.07 |
Where Virginia sits
The same service costs 229.1 times more in Texas than in Ohio. 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
$1,514
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.