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 $1,621.81 Median $1,819.70 Typical High $5,011.87 | Facility | None | $1,621.81 | $1,819.70 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,698.24 Typical High $1,819.70 | Professional | None | $1,621.81 | $1,698.24 | $1,819.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $10,471.29 | Facility | None | $2,137.96 | $2,137.96 | $10,471.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,047.13 Typical High $1,584.89 | Professional | None | $851.14 | $1,047.13 | $1,584.89 |
CareFirst Setting Professional Modifier None Typical Low $1,548.82 Median $1,698.24 Typical High $1,949.84 | Professional | None | $1,548.82 | $1,698.24 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $3,548.13 Typical High $5,495.41 | Facility | None | $2,187.76 | $3,548.13 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $3,630.78 | Professional | None | $1,047.13 | $1,584.89 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $2,344.23 Typical High $3,019.95 | Professional | None | $2,041.74 | $2,344.23 | $3,019.95 |
Medcost Setting Facility Modifier None Typical Low $812.83 Median $1,698.24 Typical High $2,344.23 | Facility | None | $812.83 | $1,698.24 | $2,344.23 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $1,380.38 Typical High $1,380.38 | Professional | None | $602.56 | $1,380.38 | $1,380.38 |
Sentara Setting Facility Modifier None Typical Low $1,513.56 Median $2,818.38 Typical High $10,232.93 | Facility | None | $1,513.56 | $2,818.38 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $1,513.56 Median $2,691.53 Typical High $9,772.37 | Professional | None | $1,513.56 | $2,691.53 | $9,772.37 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
United Setting Professional Modifier None Typical Low $251.19 Median $912.01 Typical High $1,288.25 | Professional | None | $251.19 | $912.01 | $1,288.25 |
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 $812.83 Median $851.14 Typical High $912.01 | Professional | 52 · Reduced service | $812.83 | $851.14 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $346.74 Typical High $363.08 | Professional | 53 · Discontinued | $323.59 | $346.74 | $363.08 |
Where Virginia sits
The same service costs 6.0 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· 33rd of 51
$1,479
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.