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 $602.56 Median $676.08 Typical High $1,862.09 | Facility | None | $602.56 | $676.08 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $707.95 | Professional | None | $602.56 | $676.08 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $3,890.45 | Facility | None | $794.33 | $794.33 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $588.84 | Professional | None | $323.59 | $457.09 | $588.84 |
CareFirst Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $645.65 | Professional | None | $457.09 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,174.90 Typical High $1,995.26 | Facility | None | $645.65 | $1,174.90 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $407.38 Typical High $912.01 | Professional | None | $162.18 | $407.38 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $1,174.90 | Professional | None | $794.33 | $954.99 | $1,174.90 |
Medcost Setting Professional Modifier None Typical Low $275.42 Median $549.54 Typical High $645.65 | Professional | None | $275.42 | $549.54 | $645.65 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $467.74 Typical High $794.33 | Facility | None | $275.42 | $467.74 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
Sentara Setting Facility Modifier None Typical Low $457.09 Median $954.99 Typical High $10,232.93 | Facility | None | $457.09 | $954.99 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $467.74 Median $954.99 Typical High $10,232.93 | Professional | None | $467.74 | $954.99 | $10,232.93 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
United Setting Professional Modifier None Typical Low $194.98 Median $346.74 Typical High $524.81 | Professional | None | $194.98 | $346.74 | $524.81 |
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 $302.00 Median $338.84 Typical High $354.81 | Professional | 52 · Reduced service | $302.00 | $338.84 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $134.90 Typical High $141.25 | Professional | 53 · Discontinued | $120.23 | $134.90 | $141.25 |
Where Virginia sits
The same service costs 11.0 times more in Alaska than in Alabama. 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· 30th of 51
$562
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.