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 $2,137.96 Median $2,454.71 Typical High $6,760.83 | Facility | None | $2,137.96 | $2,454.71 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,454.71 | Professional | None | $2,137.96 | $2,137.96 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $14,125.38 | Facility | None | $2,884.03 | $2,884.03 | $14,125.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,995.26 | Professional | None | $1,148.15 | $1,148.15 | $1,995.26 |
CareFirst Setting Professional Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $2,691.53 | Professional | None | $2,089.30 | $2,290.87 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $5,495.41 Typical High $8,511.38 | Facility | None | $2,951.21 | $5,495.41 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $2,041.74 Typical High $4,897.79 | Professional | None | $1,412.54 | $2,041.74 | $4,897.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,754.23 Median $3,162.28 Typical High $3,981.07 | Professional | None | $2,754.23 | $3,162.28 | $3,981.07 |
Medcost Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $5,128.61 | Facility | None | $2,818.38 | $2,818.38 | $5,128.61 |
Medcost Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $2,137.96 | Professional | None | $117.49 | $117.49 | $2,137.96 |
Sentara Setting Facility Modifier None Typical Low $2,570.40 Median $4,168.69 Typical High $11,481.54 | Facility | None | $2,570.40 | $4,168.69 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $2,570.40 Median $4,073.80 Typical High $10,232.93 | Professional | None | $2,570.40 | $4,073.80 | $10,232.93 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,348.96 Typical High $3,090.30 | Professional | None | $891.25 | $1,348.96 | $3,090.30 |
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 $1,071.52 Median $1,071.52 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,071.52 | $1,071.52 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $489.78 | Professional | 53 · Discontinued | $426.58 | $426.58 | $489.78 |
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· 35th of 51
$2,138
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.