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 $1,000.00 Median $1,148.15 Typical High $3,090.30 | Facility | None | $1,000.00 | $1,148.15 | $3,090.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,148.15 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,128.61 Median $6,606.93 Typical High $8,317.64 | Facility | None | $5,128.61 | $6,606.93 | $8,317.64 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $912.01 | Professional | None (both parts) | $426.58 | $426.58 | $912.01 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,071.52 Typical High $1,258.93 | Professional | None (both parts) | $954.99 | $1,071.52 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,238.72 Typical High $3,311.31 | Facility | None | $1,348.96 | $2,238.72 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $1,862.09 | Professional | None | $1,258.93 | $1,479.11 | $1,862.09 |
Medcost Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,348.96 | Professional | None (both parts) | $870.96 | $870.96 | $1,348.96 |
Sentara Setting Facility Modifier None Typical Low $954.99 Median $1,621.81 Typical High $3,162.28 | Facility | None | $954.99 | $1,621.81 | $3,162.28 |
Sentara Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,548.82 Typical High $2,570.40 | Professional | None (both parts) | $1,230.27 | $1,548.82 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $794.33 Typical High $1,862.09 | Professional | None (both parts) | $562.34 | $794.33 | $1,862.09 |
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 26 · Professional part | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $501.19 Typical High $562.34 | Professional | 52 · Reduced service | $501.19 | $501.19 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $229.09 | Professional | 53 · Discontinued | $199.53 | $199.53 | $229.09 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $1,548.82 Typical High $2,454.71 | Professional | TC · Technical part | $1,348.96 | $1,548.82 | $2,454.71 |
Where Virginia sits
The same service costs 102.3 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
$955
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.