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 $181.97 Median $229.09 Typical High $630.96 | Facility | None | $181.97 | $229.09 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $229.09 | Professional | None | $181.97 | $181.97 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $1,174.90 | Facility | None | $239.88 | $239.88 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $147.91 Typical High $218.78 | Professional | None | $117.49 | $147.91 | $218.78 |
CareFirst Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $257.04 | Professional | None | $194.98 | $218.78 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $467.74 Typical High $724.44 | Facility | None | $245.47 | $467.74 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $169.82 Typical High $407.38 | Professional | None | $131.83 | $169.82 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $338.84 | Professional | None | $229.09 | $269.15 | $338.84 |
Medcost Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $478.63 | Facility | None | $398.11 | $398.11 | $478.63 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $446.68 | Professional | None | $194.98 | $194.98 | $446.68 |
Sentara Setting Facility Modifier None Typical Low $218.78 Median $346.74 Typical High $10,232.93 | Facility | None | $218.78 | $346.74 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $1,071.52 | Professional | None | $239.88 | $302.00 | $1,071.52 |
United Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
United Setting Professional Modifier None Typical Low $102.33 Median $144.54 Typical High $346.74 | Professional | None | $102.33 | $144.54 | $346.74 |
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 $91.20 Median $91.20 Typical High $114.82 | Professional | 52 · Reduced service | $91.20 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $45.71 | Professional | 53 · Discontinued | $36.31 | $36.31 | $45.71 |
Where Virginia sits
The same service costs 5.1 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· 32nd of 51
$229
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.