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 $3,548.13 Median $4,073.80 Typical High $11,220.18 | Facility | None | $3,548.13 | $4,073.80 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $3,548.13 Median $3,801.89 Typical High $4,073.80 | Professional | None | $3,548.13 | $3,801.89 | $4,073.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $23,442.29 | Facility | None | $4,786.30 | $4,786.30 | $23,442.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $3,548.13 | Professional | None | $1,905.46 | $2,344.23 | $3,548.13 |
CareFirst Setting Professional Modifier None Typical Low $3,467.37 Median $3,801.89 Typical High $4,365.16 | Professional | None | $3,467.37 | $3,801.89 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $7,943.28 Typical High $12,022.64 | Facility | None | $4,897.79 | $7,943.28 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $3,548.13 Typical High $8,128.31 | Professional | None | $2,344.23 | $3,548.13 | $8,128.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,570.88 Median $5,248.07 Typical High $6,760.83 | Professional | None | $4,570.88 | $5,248.07 | $6,760.83 |
Medcost Setting Facility Modifier None Typical Low $2,511.89 Median $4,073.80 Typical High $6,456.54 | Facility | None | $2,511.89 | $4,073.80 | $6,456.54 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $4,786.30 | Professional | None | $645.65 | $645.65 | $4,786.30 |
Sentara Setting Facility Modifier None Typical Low $3,311.31 Median $6,456.54 Typical High $11,481.54 | Facility | None | $3,311.31 | $6,456.54 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $3,801.89 Median $6,025.60 Typical High $11,481.54 | Professional | None | $3,801.89 | $6,025.60 | $11,481.54 |
United Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,818.38 Typical High $6,309.57 | Professional | None | $1,995.26 | $2,818.38 | $6,309.57 |
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 $1,778.28 Median $1,905.46 Typical High $2,041.74 | Professional | 52 · Reduced service | $1,778.28 | $1,905.46 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $724.44 Median $758.58 Typical High $812.83 | Professional | 53 · Discontinued | $724.44 | $758.58 | $812.83 |
Where Virginia sits
The same service costs 10.7 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· 36th of 51
$3,467
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.