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 $2,454.71 Median $2,754.23 Typical High $7,585.78 | Facility | None | $2,454.71 | $2,754.23 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,754.23 | Professional | None | $2,454.71 | $2,454.71 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $15,848.93 | Facility | None | $3,235.94 | $3,235.94 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,238.72 | Professional | None | $1,288.25 | $1,288.25 | $2,238.72 |
CareFirst Setting Professional Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $3,090.30 | Professional | None | $2,344.23 | $2,570.40 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $3,311.31 Median $6,165.95 Typical High $9,549.93 | Facility | None | $3,311.31 | $6,165.95 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $2,290.87 Typical High $5,495.41 | Professional | None | $1,621.81 | $2,290.87 | $5,495.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,090.30 Median $3,548.13 Typical High $4,570.88 | Professional | None | $3,090.30 | $3,548.13 | $4,570.88 |
Medcost Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $5,888.44 | Facility | None | $3,801.89 | $3,801.89 | $5,888.44 |
Medcost Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $2,818.38 | Professional | None | $1,174.90 | $1,174.90 | $2,818.38 |
Sentara Setting Facility Modifier None Typical Low $2,290.87 Median $4,466.84 Typical High $11,481.54 | Facility | None | $2,290.87 | $4,466.84 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $2,754.23 Median $4,365.16 Typical High $10,232.93 | Professional | None | $2,754.23 | $4,365.16 | $10,232.93 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,698.24 Typical High $4,073.80 | Professional | None | $1,202.26 | $1,698.24 | $4,073.80 |
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 $1,202.26 Median $1,202.26 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $549.54 | Professional | 53 · Discontinued | $489.78 | $489.78 | $549.54 |
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· 34th of 51
$2,455
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.