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 $213.80 Median $239.88 Typical High $660.69 | Facility | None | $213.80 | $239.88 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $251.19 | Professional | None | $213.80 | $239.88 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $1,412.54 | Facility | None | $281.84 | $281.84 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $162.18 Typical High $208.93 | Professional | None | $114.82 | $162.18 | $208.93 |
CareFirst Setting Professional Modifier None Typical Low $141.25 Median $229.09 Typical High $229.09 | Professional | None | $141.25 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $371.54 Typical High $707.95 | Facility | None | $229.09 | $371.54 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $144.54 Typical High $331.13 | Professional | None | $57.54 | $144.54 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $338.84 Typical High $426.58 | Professional | None | $281.84 | $338.84 | $426.58 |
Medcost Setting Professional Modifier None Typical Low $83.18 Median $169.82 Typical High $199.53 | Professional | None | $83.18 | $169.82 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $165.96 Typical High $281.84 | Facility | None | $85.11 | $165.96 | $281.84 |
Medcost Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $162.18 | Professional | None | $85.11 | $85.11 | $162.18 |
Sentara Setting Facility Modifier None Typical Low $141.25 Median $338.84 Typical High $10,232.93 | Facility | None | $141.25 | $338.84 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $141.25 Median $338.84 Typical High $10,232.93 | Professional | None | $141.25 | $338.84 | $10,232.93 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None Typical Low $58.88 Median $120.23 Typical High $169.82 | Professional | None | $58.88 | $120.23 | $169.82 |
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 $107.15 Median $120.23 Typical High $125.89 | Professional | 52 · Reduced service | $107.15 | $120.23 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $48.98 Typical High $51.29 | Professional | 53 · Discontinued | $42.66 | $48.98 | $51.29 |
Where Virginia sits
The same service costs 11.2 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
$200
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.