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 $117.49 Median $3,235.94 Typical High $9,332.54 | Facility | None | $117.49 | $3,235.94 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $117.49 Typical High $229.09 | Professional | None | $79.43 | $117.49 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $2,951.21 | Facility | None | $1,698.24 | $2,398.83 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $114.82 | Professional | None | $75.86 | $91.20 | $114.82 |
CareFirst Setting Professional Modifier None Typical Low $83.18 Median $91.20 Typical High $114.82 | Professional | None | $83.18 | $91.20 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $275.42 Typical High $7,943.28 | Facility | None | $66.07 | $275.42 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $117.49 Typical High $186.21 | Professional | None | $79.43 | $117.49 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $138.04 Typical High $169.82 | Professional | None | $69.18 | $138.04 | $169.82 |
Medcost Setting Professional Modifier None Typical Low $181.97 Median $229.09 Typical High $229.09 | Professional | None | $181.97 | $229.09 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $91.20 Median $138.04 Typical High $223.87 | Facility | None | $91.20 | $138.04 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Sentara Setting Facility Modifier None Typical Low $79.43 Median $616.60 Typical High $2,951.21 | Facility | None | $79.43 | $616.60 | $2,951.21 |
Sentara Setting Professional Modifier None Typical Low $117.49 Median $162.18 Typical High $1,737.80 | Professional | None | $117.49 | $162.18 | $1,737.80 |
United Setting Facility Modifier None Typical Low $323.59 Median $1,445.44 Typical High $3,630.78 | Facility | None | $323.59 | $1,445.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $70.79 Median $125.89 Typical High $218.78 | Professional | None | $70.79 | $125.89 | $218.78 |
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 $39.81 Median $45.71 Typical High $69.18 | Professional | 52 · Reduced service | $39.81 | $45.71 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $18.20 Typical High $27.54 | Professional | 53 · Discontinued | $15.85 | $18.20 | $27.54 |
Where Virginia sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 44th of 51
$112
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.