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 $436.52 Median $1,071.52 Typical High $4,168.69 | Facility | None | $436.52 | $1,071.52 | $4,168.69 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $891.25 Typical High $1,071.52 | Professional | None | $436.52 | $891.25 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $512.86 | Professional | None | $346.74 | $407.38 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $204.17 Typical High $851.14 | Professional | None | $61.66 | $204.17 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $61.66 | Professional | None | $41.69 | $48.98 | $61.66 |
Medcost Setting Facility Modifier None Typical Low $660.69 Median $1,071.52 Typical High $1,621.81 | Facility | None | $660.69 | $1,071.52 | $1,621.81 |
Medcost Setting Professional Modifier None Typical Low $257.04 Median $371.54 Typical High $371.54 | Professional | None | $257.04 | $371.54 | $371.54 |
Sentara Setting Facility Modifier None Typical Low $208.93 Median $1,148.15 Typical High $10,232.93 | Facility | None | $208.93 | $1,148.15 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $208.93 Median $1,122.02 Typical High $1,905.46 | Professional | None | $208.93 | $1,122.02 | $1,905.46 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,202.26 Typical High $1,819.70 | Professional | None | $691.83 | $1,202.26 | $1,819.70 |
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 $218.78 Median $436.52 Typical High $537.03 | Professional | 52 · Reduced service | $218.78 | $436.52 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $190.55 Typical High $213.80 | Professional | 53 · Discontinued | $87.10 | $190.55 | $213.80 |
Where Virginia sits
The same service costs 120.2 times more in North Carolina than in New York. 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· 36th of 51
$447
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.