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 $1,819.70 Median $2,089.30 Typical High $5,754.40 | Facility | None | $1,819.70 | $2,089.30 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,949.84 Typical High $2,187.76 | Professional | None | $1,819.70 | $1,949.84 | $2,187.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $12,022.64 | Facility | None | $2,454.71 | $2,454.71 | $12,022.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,202.26 Typical High $1,778.28 | Professional | None | $977.24 | $1,202.26 | $1,778.28 |
CareFirst Setting Professional Modifier None Typical Low $1,778.28 Median $1,949.84 Typical High $2,238.72 | Professional | None | $1,778.28 | $1,949.84 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $4,073.80 Typical High $6,165.95 | Facility | None | $2,511.89 | $4,073.80 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $4,168.69 | Professional | None | $1,122.02 | $1,819.70 | $4,168.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,344.23 Median $2,691.53 Typical High $3,467.37 | Professional | None | $2,344.23 | $2,691.53 | $3,467.37 |
Medcost Setting Facility Modifier None Typical Low $524.81 Median $2,089.30 Typical High $2,691.53 | Facility | None | $524.81 | $2,089.30 | $2,691.53 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $1,479.11 Typical High $1,513.56 | Professional | None | $602.56 | $1,479.11 | $1,513.56 |
Sentara Setting Facility Modifier None Typical Low $1,698.24 Median $3,235.94 Typical High $10,232.93 | Facility | None | $1,698.24 | $3,235.94 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $1,698.24 Median $3,090.30 Typical High $10,232.93 | Professional | None | $1,698.24 | $3,090.30 | $10,232.93 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
United Setting Professional Modifier None Typical Low $251.19 Median $1,023.29 Typical High $1,479.11 | Professional | None | $251.19 | $1,023.29 | $1,479.11 |
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 $912.01 Median $977.24 Typical High $1,047.13 | Professional | 52 · Reduced service | $912.01 | $977.24 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $389.05 Typical High $416.87 | Professional | 53 · Discontinued | $363.08 | $389.05 | $416.87 |
Where Virginia sits
The same service costs 6.8 times more in Alaska than in Kentucky. 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· 30th of 51
$1,698
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.