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 $269.15 Median $309.03 Typical High $851.14 | Facility | None | $269.15 | $309.03 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $309.03 | Professional | None | $269.15 | $269.15 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,778.28 Typical High $2,238.72 | Facility | None | $1,380.38 | $1,778.28 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $295.12 | Professional | None | $204.17 | $204.17 | $295.12 |
CareFirst Setting Professional Modifier None Typical Low $263.03 Median $288.40 Typical High $338.84 | Professional | None | $263.03 | $288.40 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $562.34 Typical High $870.96 | Facility | None | $371.54 | $562.34 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $501.19 | Professional | None | $346.74 | $398.11 | $501.19 |
Medcost Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Medcost Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $363.08 | Professional | None | $234.42 | $234.42 | $363.08 |
Sentara Setting Facility Modifier None Typical Low $257.04 Median $446.68 Typical High $831.76 | Facility | None | $257.04 | $446.68 | $831.76 |
Sentara Setting Professional Modifier None Typical Low $269.15 Median $416.87 Typical High $676.08 | Professional | None | $269.15 | $416.87 | $676.08 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
United Setting Professional Modifier None Typical Low $151.36 Median $218.78 Typical High $501.19 | Professional | None | $151.36 | $218.78 | $501.19 |
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 $134.90 Median $134.90 Typical High $154.88 | Professional | 52 · Reduced service | $134.90 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | 53 · Discontinued | $53.70 | $53.70 | $61.66 |
Where Virginia sits
The same service costs 12.0 times more in Texas than in New Mexico. 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· 31st of 51
$269
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.