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 $676.08 Median $758.58 Typical High $2,089.30 | Facility | None | $676.08 | $758.58 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $758.58 Typical High $794.33 | Professional | None (both parts) | $676.08 | $758.58 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $4,365.16 Typical High $5,495.41 | Facility | None | $3,388.44 | $4,365.16 | $5,495.41 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.23 Median $512.86 Typical High $660.69 | Professional | None (both parts) | $10.23 | $512.86 | $660.69 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $645.65 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $645.65 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,513.56 Typical High $2,238.72 | Facility | None | $912.01 | $1,513.56 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $1,023.29 Typical High $1,288.25 | Professional | None (both parts) | $371.54 | $1,023.29 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,318.26 | Professional | None | $891.25 | $1,071.52 | $1,318.26 |
Medcost Setting Facility Modifier None Typical Low $588.84 Median $758.58 Typical High $1,621.81 | Facility | None | $588.84 | $758.58 | $1,621.81 |
Medcost Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $741.31 | $741.31 | $741.31 |
Sentara Setting Facility Modifier None Typical Low $630.96 Median $1,023.29 Typical High $1,995.26 | Facility | None | $630.96 | $1,023.29 | $1,995.26 |
Sentara Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,023.29 Typical High $1,995.26 | Professional | None (both parts) | $630.96 | $1,023.29 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $467.74 Typical High $891.25 | Professional | None (both parts) | $380.19 | $467.74 | $891.25 |
3 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 $338.84 Median $380.19 Typical High $398.11 | Professional | 52 · Reduced service | $338.84 | $380.19 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $151.36 Typical High $158.49 | Professional | 53 · Discontinued | $134.90 | $151.36 | $158.49 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $1,023.29 Typical High $1,288.25 | Professional | TC · Technical part | $630.96 | $1,023.29 | $1,288.25 |
Where Virginia sits
The same service costs 31.6 times more in Alaska 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
$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.