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 $398.11 Median $1,949.84 Typical High $3,162.28 | Facility | None | $398.11 | $1,949.84 | $3,162.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $524.81 Typical High $602.56 | Professional | None (both parts) | $371.54 | $524.81 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $125.89 Typical High $154.88 | Professional | 26 · Professional part | $95.50 | $125.89 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $302.00 Typical High $371.54 | Professional | TC · Technical part | $223.87 | $302.00 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $489.78 Median $588.84 Typical High $758.58 | Professional | None (both parts) | $489.78 | $588.84 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $104.71 Typical High $131.83 | Professional | 26 · Professional part | $87.10 | $104.71 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $489.78 Typical High $616.60 | Professional | TC · Technical part | $407.38 | $489.78 | $616.60 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $630.96 | $630.96 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,905.46 Typical High $2,398.83 | Facility | None | $776.25 | $1,905.46 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $1,698.24 |
Medcost Setting Facility Modifier None Typical Low $524.81 Median $794.33 Typical High $1,122.02 | Facility | None | $524.81 | $794.33 | $1,122.02 |
Sentara Setting Facility Modifier None Typical Low $1,202.26 Median $2,137.96 Typical High $10,232.93 | Facility | None | $1,202.26 | $2,137.96 | $10,232.93 |
Sentara Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,513.56 Typical High $10,232.93 | Professional | None (both parts) | $1,174.90 | $1,513.56 | $10,232.93 |
United Setting Facility Modifier None Typical Low $660.69 Median $724.44 Typical High $1,621.81 | Facility | None | $660.69 | $724.44 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $851.14 | $851.14 | $851.14 |
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 $158.49 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $158.49 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $63.10 | $85.11 | $104.71 |
Where Virginia sits
The same service costs 21.9 times more in Oklahoma than in Montana. 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· 27th of 51
$603
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.