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 $138.04 Median $158.49 Typical High $426.58 | Facility | None | $138.04 | $158.49 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $158.49 | Professional | None | $138.04 | $138.04 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $912.01 | Facility | None | $186.21 | $186.21 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $134.90 | Professional | None | $74.13 | $100.00 | $134.90 |
CareFirst Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $173.78 | Professional | None | $131.83 | $147.91 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $354.81 Typical High $549.54 | Facility | None | $190.55 | $354.81 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $114.82 Typical High $288.40 | Professional | None | $87.10 | $114.82 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $204.17 Typical High $257.04 | Professional | None | $177.83 | $204.17 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $331.13 | Facility | None | $245.47 | $245.47 | $331.13 |
Medcost Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $186.21 | Professional | None | $120.23 | $120.23 | $186.21 |
Sentara Setting Facility Modifier None Typical Low $138.04 Median $239.88 Typical High $10,232.93 | Facility | None | $138.04 | $239.88 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $812.83 | Professional | None | $165.96 | $213.80 | $812.83 |
United Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $257.04 | Professional | None | $77.62 | $112.20 | $257.04 |
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 $69.18 Median $69.18 Typical High $79.43 | Professional | 52 · Reduced service | $69.18 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $31.62 | Professional | 53 · Discontinued | $27.54 | $27.54 | $31.62 |
Where Virginia sits
The same service costs 4.5 times more in Texas than in Oklahoma. 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· 36th 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.