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 $1,380.38 Median $2,344.23 Typical High $4,677.35 | Facility | None | $1,380.38 | $2,344.23 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,737.80 | Professional | None | $1,380.38 | $1,380.38 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $8,912.51 | Facility | None | $1,819.70 | $1,819.70 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,659.59 | Professional | None | $891.25 | $1,096.48 | $1,659.59 |
CareFirst Setting Professional Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,479.11 | $1,659.59 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $3,548.13 Typical High $6,309.57 | Facility | None | $1,862.09 | $3,548.13 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $3,235.94 | Professional | None | $1,096.48 | $1,412.54 | $3,235.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $1,995.26 Typical High $2,570.40 | Professional | None | $1,737.80 | $1,995.26 | $2,570.40 |
Medcost Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,630.78 | Facility | None | $3,311.31 | $3,311.31 | $3,630.78 |
Medcost Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,511.89 | Professional | None | $1,479.11 | $1,479.11 | $2,511.89 |
Sentara Setting Facility Modifier None Typical Low $1,737.80 Median $2,570.40 Typical High $10,232.93 | Facility | None | $1,737.80 | $2,570.40 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $7,413.10 | Professional | None | $1,819.70 | $2,511.89 | $7,413.10 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $2,884.03 | Professional | None | $758.58 | $1,096.48 | $2,884.03 |
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 $691.83 Median $691.83 Typical High $870.96 | Professional | 52 · Reduced service | $691.83 | $691.83 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $346.74 | Professional | 53 · Discontinued | $275.42 | $275.42 | $346.74 |
Where Virginia sits
The same service costs 4.3 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· 29th of 51
$1,820
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.