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 $1,949.84 Median $2,187.76 Typical High $6,025.60 | Facility | None | $1,949.84 | $2,187.76 | $6,025.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $2,187.76 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $2,187.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,772.37 Median $12,589.25 Typical High $15,848.93 | Facility | None | $9,772.37 | $12,589.25 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $1,778.28 | Professional | None (both parts) | $33.11 | $33.11 | $1,778.28 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $2,041.74 Typical High $2,454.71 | Professional | None (both parts) | $1,862.09 | $2,041.74 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $2,630.27 Median $4,265.80 Typical High $6,309.57 | Facility | None | $2,630.27 | $4,265.80 | $6,309.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,454.71 Median $2,818.38 Typical High $3,630.78 | Professional | None | $2,454.71 | $2,818.38 | $3,630.78 |
Medcost Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $2,570.40 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $2,570.40 |
Sentara Setting Facility Modifier None Typical Low $1,819.70 Median $3,090.30 Typical High $6,165.95 | Facility | None | $1,819.70 | $3,090.30 | $6,165.95 |
Sentara Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $2,951.21 Typical High $5,011.87 | Professional | None (both parts) | $2,344.23 | $2,951.21 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,548.82 Typical High $3,548.13 | Professional | None (both parts) | $1,071.52 | $1,548.82 | $3,548.13 |
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | 26 · Professional part | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $954.99 Median $954.99 Typical High $1,096.48 | Professional | 52 · Reduced service | $954.99 | $954.99 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $436.52 | Professional | 53 · Discontinued | $389.05 | $389.05 | $436.52 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $2,570.40 Median $2,951.21 Typical High $4,786.30 | Professional | TC · Technical part | $2,570.40 | $2,951.21 | $4,786.30 |
Where Virginia sits
The same service costs 204.2 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
$1,862
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.