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 $2,691.53 Median $3,090.30 Typical High $8,317.64 | Facility | None | $2,691.53 | $3,090.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,090.30 | Professional | None | $2,691.53 | $2,691.53 | $3,090.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $17,782.79 | Facility | None | $3,630.78 | $3,630.78 | $17,782.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,511.89 | Professional | None | $1,445.44 | $1,445.44 | $2,511.89 |
CareFirst Setting Professional Modifier None Typical Low $2,570.40 Median $2,884.03 Typical High $3,388.44 | Professional | None | $2,570.40 | $2,884.03 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $6,309.57 Typical High $8,912.51 | Facility | None | $3,630.78 | $6,309.57 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,290.87 Typical High $5,754.40 | Professional | None | $1,737.80 | $2,290.87 | $5,754.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,388.44 Median $3,981.07 Typical High $5,011.87 | Professional | None | $3,388.44 | $3,981.07 | $5,011.87 |
Medcost Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Medcost Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $3,630.78 | Professional | None | $2,344.23 | $2,344.23 | $3,630.78 |
Sentara Setting Facility Modifier None Typical Low $2,691.53 Median $4,570.88 Typical High $11,481.54 | Facility | None | $2,691.53 | $4,570.88 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $3,235.94 Median $4,168.69 Typical High $10,232.93 | Professional | None | $3,235.94 | $4,168.69 | $10,232.93 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,137.96 Typical High $5,011.87 | Professional | None | $1,513.56 | $2,137.96 | $5,011.87 |
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 $1,348.96 Median $1,348.96 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $616.60 | Professional | 53 · Discontinued | $537.03 | $537.03 | $616.60 |
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· 45th of 51
$2,692
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.