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 $562.34 Median $630.96 Typical High $1,737.80 | Facility | None | $562.34 | $630.96 | $1,737.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $630.96 | Professional | None (both parts) | $562.34 | $562.34 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $3,630.78 Typical High $4,570.88 | Facility | None | $2,818.38 | $3,630.78 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $512.86 Median $691.83 Typical High $933.25 | Professional | None (both parts) | $512.86 | $691.83 | $933.25 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $537.03 Median $588.84 Typical High $707.95 | Professional | None (both parts) | $537.03 | $588.84 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,230.27 Typical High $1,819.70 | Facility | None | $758.58 | $1,230.27 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $812.83 Typical High $1,047.13 | Professional | None | $707.95 | $812.83 | $1,047.13 |
Medcost Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Medcost Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $741.31 | Professional | None (both parts) | $478.63 | $478.63 | $741.31 |
Sentara Setting Facility Modifier None Typical Low $524.81 Median $891.25 Typical High $1,778.28 | Facility | None | $524.81 | $891.25 | $1,778.28 |
Sentara Setting Professional Modifier None (both parts) Typical Low $676.08 Median $851.14 Typical High $1,445.44 | Professional | None (both parts) | $676.08 | $851.14 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $446.68 Typical High $1,023.29 | Professional | None (both parts) | $309.03 | $446.68 | $1,023.29 |
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 $562.34 Median $562.34 Typical High $562.34 | Professional | 26 · Professional part | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $275.42 Typical High $316.23 | Professional | 52 · Reduced service | $275.42 | $275.42 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $125.89 | Professional | 53 · Discontinued | $112.20 | $112.20 | $125.89 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $851.14 Typical High $1,380.38 | Professional | TC · Technical part | $741.31 | $851.14 | $1,380.38 |
Where Virginia sits
The same service costs 58.9 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· 31st of 51
$692
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.