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 $4,168.69 Median $4,677.35 Typical High $12,882.50 | Facility | None | $4,168.69 | $4,677.35 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,677.35 | Professional | None | $4,168.69 | $4,168.69 | $4,677.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $26,915.35 | Facility | None | $5,370.32 | $5,370.32 | $26,915.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $3,801.89 | Professional | None | $2,187.76 | $2,187.76 | $3,801.89 |
CareFirst Setting Professional Modifier None Typical Low $3,890.45 Median $4,365.16 Typical High $5,128.61 | Professional | None | $3,890.45 | $4,365.16 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $5,623.41 Median $9,549.93 Typical High $13,803.84 | Facility | None | $5,623.41 | $9,549.93 | $13,803.84 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $3,467.37 Typical High $8,912.51 | Professional | None | $2,691.53 | $3,467.37 | $8,912.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,128.61 Median $5,888.44 Typical High $7,585.78 | Professional | None | $5,128.61 | $5,888.44 | $7,585.78 |
Medcost Setting Facility Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Facility | None | $7,079.46 | $7,079.46 | $7,079.46 |
Medcost Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $5,495.41 | Professional | None | $3,548.13 | $3,548.13 | $5,495.41 |
Sentara Setting Facility Modifier None Typical Low $3,890.45 Median $6,918.31 Typical High $12,589.25 | Facility | None | $3,890.45 | $6,918.31 | $12,589.25 |
Sentara Setting Professional Modifier None Typical Low $4,786.30 Median $6,309.57 Typical High $10,715.19 | Professional | None | $4,786.30 | $6,309.57 | $10,715.19 |
United Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | None | $6,456.54 | $6,456.54 | $6,456.54 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $3,311.31 Typical High $7,585.78 | Professional | None | $2,290.87 | $3,311.31 | $7,585.78 |
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 $2,089.30 Median $2,089.30 Typical High $2,344.23 | Professional | 52 · Reduced service | $2,089.30 | $2,089.30 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $831.76 Median $831.76 Typical High $933.25 | Professional | 53 · Discontinued | $831.76 | $831.76 | $933.25 |
Where Virginia sits
The same service costs 6.2 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· 42nd of 51
$4,266
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.