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 $2,570.40 Median $2,951.21 Typical High $7,943.28 | Facility | None | $2,570.40 | $2,951.21 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,951.21 | Professional | None | $2,570.40 | $2,570.40 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $13,182.57 Median $16,982.44 Typical High $21,379.62 | Facility | None | $13,182.57 | $16,982.44 | $21,379.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $2,398.83 | Professional | None | $323.59 | $323.59 | $2,398.83 |
CareFirst Setting Professional Modifier None Typical Low $2,454.71 Median $2,754.23 Typical High $3,235.94 | Professional | None | $2,454.71 | $2,754.23 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $5,370.32 Typical High $8,317.64 | Facility | None | $3,467.37 | $5,370.32 | $8,317.64 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,235.94 Median $3,801.89 Typical High $4,786.30 | Professional | None | $3,235.94 | $3,801.89 | $4,786.30 |
Medcost Setting Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Medcost Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $3,467.37 | Professional | None | $2,238.72 | $2,238.72 | $3,467.37 |
Sentara Setting Facility Modifier None Typical Low $2,454.71 Median $4,168.69 Typical High $7,943.28 | Facility | None | $2,454.71 | $4,168.69 | $7,943.28 |
Sentara Setting Professional Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $6,456.54 | Professional | None | $2,570.40 | $3,981.07 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,041.74 Typical High $4,786.30 | Professional | None | $1,445.44 | $2,041.74 | $4,786.30 |
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 $1,288.25 Median $1,288.25 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,288.25 | $1,288.25 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $588.84 | Professional | 53 · Discontinued | $512.86 | $512.86 | $588.84 |
Where Virginia sits
The same service costs 35.5 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· 35th of 51
$2,455
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.