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 $1,412.54 Median $1,621.81 Typical High $4,466.84 | Facility | None | $1,412.54 | $1,621.81 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,621.81 | Professional | None | $1,412.54 | $1,412.54 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,244.36 Median $9,332.54 Typical High $11,748.98 | Facility | None | $7,244.36 | $9,332.54 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $1,318.26 | Professional | None | $501.19 | $501.19 | $1,318.26 |
CareFirst Setting Professional Modifier None Typical Low $1,380.38 Median $1,513.56 Typical High $1,778.28 | Professional | None | $1,380.38 | $1,513.56 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $3,019.95 Typical High $4,570.88 | Facility | None | $1,949.84 | $3,019.95 | $4,570.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $2,630.27 | Professional | None | $1,819.70 | $2,089.30 | $2,630.27 |
Medcost Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Medcost Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,905.46 | Professional | None | $1,230.27 | $1,230.27 | $1,905.46 |
Sentara Setting Facility Modifier None Typical Low $1,348.96 Median $2,344.23 Typical High $4,365.16 | Facility | None | $1,348.96 | $2,344.23 | $4,365.16 |
Sentara Setting Professional Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $3,548.13 | Professional | None | $1,412.54 | $2,187.76 | $3,548.13 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,148.15 Typical High $2,630.27 | Professional | None | $794.33 | $1,148.15 | $2,630.27 |
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 $707.95 Median $707.95 Typical High $812.83 | Professional | 52 · Reduced service | $707.95 | $707.95 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $323.59 | Professional | 53 · Discontinued | $281.84 | $281.84 | $323.59 |
Where Virginia sits
The same service costs 12.0 times more in Texas than in New Mexico. 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
$1,380
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.