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 $3,715.35 Median $4,265.80 Typical High $11,748.98 | Facility | None | $3,715.35 | $4,265.80 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $4,265.80 | Professional | None | $3,715.35 | $3,715.35 | $4,265.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $19,054.61 Median $24,547.09 Typical High $30,902.95 | Facility | None | $19,054.61 | $24,547.09 | $30,902.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,467.37 | Professional | None | $1,995.26 | $1,995.26 | $3,467.37 |
CareFirst Setting Professional Modifier None Typical Low $3,630.78 Median $3,981.07 Typical High $4,677.35 | Professional | None | $3,630.78 | $3,981.07 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $5,128.61 Median $7,943.28 Typical High $12,022.64 | Facility | None | $5,128.61 | $7,943.28 | $12,022.64 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,786.30 Median $5,495.41 Typical High $7,079.46 | Professional | None | $4,786.30 | $5,495.41 | $7,079.46 |
Medcost Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | None | $6,456.54 | $6,456.54 | $6,456.54 |
Medcost Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $5,011.87 | Professional | None | $3,235.94 | $3,235.94 | $5,011.87 |
Sentara Setting Facility Modifier None Typical Low $3,548.13 Median $6,165.95 Typical High $11,481.54 | Facility | None | $3,548.13 | $6,165.95 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $3,715.35 Median $5,754.40 Typical High $9,332.54 | Professional | None | $3,715.35 | $5,754.40 | $9,332.54 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $3,019.95 Typical High $6,918.31 | Professional | None | $2,089.30 | $3,019.95 | $6,918.31 |
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 $1,862.09 Median $1,862.09 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,862.09 | $1,862.09 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $758.58 Typical High $851.14 | Professional | 53 · Discontinued | $758.58 | $758.58 | $851.14 |
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· 37th of 51
$3,631
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.