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 $158.49 Median $177.83 Typical High $489.78 | Facility | None | $158.49 | $177.83 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $177.83 Typical High $186.21 | Professional | None | $158.49 | $177.83 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $1,023.29 | Facility | None | $208.93 | $208.93 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $123.03 Typical High $154.88 | Professional | None | $83.18 | $123.03 | $154.88 |
CareFirst Setting Professional Modifier None Typical Low $151.36 Median $165.96 Typical High $186.21 | Professional | None | $151.36 | $165.96 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $389.05 Typical High $549.54 | Facility | None | $213.80 | $389.05 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $125.89 Typical High $239.88 | Professional | None | $81.28 | $125.89 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $309.03 | Professional | None | $208.93 | $251.19 | $309.03 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $194.98 Typical High $229.09 | Professional | None | $109.65 | $194.98 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $165.96 Typical High $229.09 | Facility | None | $104.71 | $165.96 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $151.36 | Professional | None | $109.65 | $109.65 | $151.36 |
Sentara Setting Facility Modifier None Typical Low $158.49 Median $251.19 Typical High $10,232.93 | Facility | None | $158.49 | $251.19 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $158.49 Median $251.19 Typical High $10,232.93 | Professional | None | $158.49 | $251.19 | $10,232.93 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
United Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $186.21 | Professional | None | $77.62 | $107.15 | $186.21 |
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 $77.62 Median $89.13 Typical High $93.33 | Professional | 52 · Reduced service | $77.62 | $89.13 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $35.48 Typical High $37.15 | Professional | 53 · Discontinued | $31.62 | $35.48 | $37.15 |
Where Virginia sits
The same service costs 6.0 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· 39th of 51
$158
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.