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 $354.81 Median $398.11 Typical High $1,096.48 | Facility | None | $354.81 | $398.11 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $398.11 | Professional | None | $354.81 | $354.81 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $2,290.87 | Facility | None | $467.74 | $467.74 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $251.19 Typical High $338.84 | Professional | None | $186.21 | $251.19 | $338.84 |
CareFirst Setting Professional Modifier None Typical Low $416.87 Median $467.74 Typical High $1,000.00 | Professional | None | $416.87 | $467.74 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $891.25 Typical High $1,380.38 | Facility | None | $478.63 | $891.25 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $288.40 Typical High $724.44 | Professional | None | $218.78 | $288.40 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $512.86 Typical High $660.69 | Professional | None | $446.68 | $512.86 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $831.76 | Facility | None | $630.96 | $630.96 | $831.76 |
Medcost Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $467.74 | Professional | None | $302.00 | $302.00 | $467.74 |
Sentara Setting Facility Modifier None Typical Low $346.74 Median $1,023.29 Typical High $10,232.93 | Facility | None | $346.74 | $1,023.29 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $416.87 Median $562.34 Typical High $4,073.80 | Professional | None | $416.87 | $562.34 | $4,073.80 |
United Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
United Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $645.65 | Professional | None | $194.98 | $281.84 | $645.65 |
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 $173.78 Median $173.78 Typical High $199.53 | Professional | 52 · Reduced service | $173.78 | $173.78 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $79.43 | Professional | 53 · Discontinued | $70.79 | $70.79 | $79.43 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 28th of 51
$457
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.