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 $3,890.45 Median $4,466.84 Typical High $12,302.69 | Facility | None | $3,890.45 | $4,466.84 | $12,302.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,890.45 Median $3,890.45 Typical High $4,466.84 | Professional | None (both parts) | $3,890.45 | $3,890.45 | $4,466.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $19,952.62 Median $25,703.96 Typical High $32,359.37 | Facility | None | $19,952.62 | $25,703.96 | $32,359.37 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $3,630.78 | Professional | None (both parts) | $66.07 | $66.07 | $3,630.78 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $3,801.89 Median $4,168.69 Typical High $4,897.79 | Professional | None (both parts) | $3,801.89 | $4,168.69 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $5,370.32 Median $8,709.64 Typical High $12,882.50 | Facility | None | $5,370.32 | $8,709.64 | $12,882.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,011.87 Median $5,754.40 Typical High $7,244.36 | Professional | None | $5,011.87 | $5,754.40 | $7,244.36 |
Medcost Setting Facility Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Facility | None | $6,760.83 | $6,760.83 | $6,760.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,388.44 Typical High $5,248.07 | Professional | None (both parts) | $3,388.44 | $3,388.44 | $5,248.07 |
Sentara Setting Facility Modifier None Typical Low $3,715.35 Median $6,309.57 Typical High $12,302.69 | Facility | None | $3,715.35 | $6,309.57 | $12,302.69 |
Sentara Setting Professional Modifier None (both parts) Typical Low $4,786.30 Median $6,025.60 Typical High $10,000.00 | Professional | None (both parts) | $4,786.30 | $6,025.60 | $10,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $3,162.28 Typical High $7,244.36 | Professional | None (both parts) | $2,187.76 | $3,162.28 | $7,244.36 |
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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | 26 · Professional part | $3,890.45 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,949.84 Median $1,949.84 Typical High $2,238.72 | Professional | 52 · Reduced service | $1,949.84 | $1,949.84 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $776.25 Typical High $891.25 | Professional | 53 · Discontinued | $776.25 | $776.25 | $891.25 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $5,248.07 Median $6,025.60 Typical High $9,772.37 | Professional | TC · Technical part | $5,248.07 | $6,025.60 | $9,772.37 |
Where Virginia sits
The same service costs 416.9 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· 36th of 51
$3,802
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.