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 $2,344.23 Median $2,630.27 Typical High $7,244.36 | Facility | None | $2,344.23 | $2,630.27 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,630.27 | Professional | None | $2,344.23 | $2,344.23 | $2,630.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $15,135.61 | Facility | None | $3,090.30 | $3,090.30 | $15,135.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $2,137.96 | Professional | None | $1,258.93 | $1,258.93 | $2,137.96 |
CareFirst Setting Professional Modifier None Typical Low $2,238.72 Median $2,511.89 Typical High $2,951.21 | Professional | None | $2,238.72 | $2,511.89 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $6,025.60 Typical High $9,332.54 | Facility | None | $3,162.28 | $6,025.60 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $2,238.72 Typical High $5,248.07 | Professional | None | $1,548.82 | $2,238.72 | $5,248.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,951.21 Median $3,388.44 Typical High $4,365.16 | Professional | None | $2,951.21 | $3,388.44 | $4,365.16 |
Medcost Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $5,623.41 | Facility | None | $4,168.69 | $4,168.69 | $5,623.41 |
Medcost Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $3,090.30 | Professional | None | $1,174.90 | $1,174.90 | $3,090.30 |
Sentara Setting Facility Modifier None Typical Low $2,818.38 Median $4,466.84 Typical High $11,481.54 | Facility | None | $2,818.38 | $4,466.84 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $2,884.03 Median $4,365.16 Typical High $10,232.93 | Professional | None | $2,884.03 | $4,365.16 | $10,232.93 |
United Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $4,365.16 | Professional | None | $1,318.26 | $1,862.09 | $4,365.16 |
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 $1,174.90 Median $1,174.90 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,174.90 | $1,174.90 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $524.81 | Professional | 53 · Discontinued | $467.74 | $467.74 | $524.81 |
Where Virginia sits
The same service costs 6.0 times more in Texas 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· 38th of 51
$2,344
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.