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 $1,819.70 Typical High $2,187.76 | Professional | None | $1,819.70 | $1,819.70 | $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 $977.24 Typical High $1,698.24 | Professional | None | $977.24 | $977.24 | $1,698.24 |
CareFirst Setting Professional Modifier None Typical Low $1,778.28 Median $1,949.84 Typical High $2,290.87 | Professional | None | $1,778.28 | $1,949.84 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $4,677.35 Typical High $7,244.36 | Facility | None | $2,511.89 | $4,677.35 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $3,801.89 | Professional | None | $1,148.15 | $1,513.56 | $3,801.89 |
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 $3,311.31 Median $3,311.31 Typical High $4,365.16 | Facility | None | $3,311.31 | $3,311.31 | $4,365.16 |
Medcost Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,454.71 | Professional | None | $1,584.89 | $1,584.89 | $2,454.71 |
Sentara Setting Facility Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $10,232.93 | Facility | None | $1,819.70 | $3,162.28 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $2,187.76 Median $2,818.38 Typical High $7,413.10 | Professional | None | $2,187.76 | $2,818.38 | $7,413.10 |
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 $1,023.29 Median $1,479.11 Typical High $3,388.44 | Professional | None | $1,023.29 | $1,479.11 | $3,388.44 |
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 $912.01 Typical High $1,047.13 | Professional | 52 · Reduced service | $912.01 | $912.01 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $416.87 | Professional | 53 · Discontinued | $363.08 | $363.08 | $416.87 |
Where Virginia sits
The same service costs 5.4 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· 42nd of 51
$1,862
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.