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 $1,000.00 Median $6,309.57 Typical High $9,120.11 | Facility | None | $1,000.00 | $6,309.57 | $9,120.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $4,265.80 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $4,265.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,202.26 | Professional | TC · Technical part | $870.96 | $870.96 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $776.25 Median $891.25 Typical High $1,122.02 | Professional | None (both parts) | $776.25 | $891.25 | $1,122.02 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $1,230.27 Median $1,412.54 Typical High $1,778.28 | Professional | 26 · Professional part | $1,230.27 | $1,412.54 | $1,778.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $707.95 Typical High $891.25 | Professional | TC · Technical part | $616.60 | $707.95 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $776.25 Typical High $870.96 | Facility | None | $524.81 | $776.25 | $870.96 |
Medcost Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Sentara Setting Facility Modifier None Typical Low $75.86 Median $2,137.96 Typical High $10,232.93 | Facility | None | $75.86 | $2,137.96 | $10,232.93 |
Sentara Setting Professional Modifier None (both parts) Typical Low $75.86 Median $2,238.72 Typical High $10,232.93 | Professional | None (both parts) | $75.86 | $2,238.72 | $10,232.93 |
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 $501.19 Median $501.19 Typical High $758.58 | Professional | 52 · Reduced service | $501.19 | $501.19 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $302.00 | Professional | 53 · Discontinued | $199.53 | $199.53 | $302.00 |
Where Virginia sits
The same service costs 56.2 times more in Nebraska 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· 39th of 51
$977
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.