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 $194.98 Median $223.87 Typical High $602.56 | Facility | None | $194.98 | $223.87 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $223.87 | Professional | None (both parts) | $194.98 | $194.98 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,621.81 | Facility | None | $1,000.00 | $1,288.25 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $177.83 | Professional | None (both parts) | $57.54 | $57.54 | $177.83 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $186.21 Median $208.93 Typical High $245.47 | Professional | None (both parts) | $186.21 | $208.93 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $436.52 Typical High $645.65 | Facility | None | $263.03 | $436.52 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $363.08 | Professional | None | $245.47 | $288.40 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $169.82 | $169.82 | $263.03 |
Sentara Setting Facility Modifier None Typical Low $186.21 Median $316.23 Typical High $616.60 | Facility | None | $186.21 | $316.23 | $616.60 |
Sentara Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $501.19 | Professional | None (both parts) | $239.88 | $302.00 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $363.08 | Professional | None (both parts) | $109.65 | $154.88 | $363.08 |
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 $194.98 Median $194.98 Typical High $194.98 | Professional | 26 · Professional part | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | 52 · Reduced service | $97.72 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $44.67 | Professional | 53 · Discontinued | $38.90 | $38.90 | $44.67 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $302.00 Typical High $478.63 | Professional | TC · Technical part | $263.03 | $302.00 | $478.63 |
Where Virginia sits
The same service costs 5.4 times more in Alaska than in Ohio. 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· 38th of 51
$186
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.