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 $154.88 Median $177.83 Typical High $478.63 | Facility | None | $154.88 | $177.83 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $177.83 | Professional | None | $154.88 | $154.88 | $177.83 |
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 $114.82 Typical High $147.91 | Professional | None | $83.18 | $114.82 | $147.91 |
CareFirst Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $208.93 | Professional | None | $147.91 | $165.96 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $363.08 Typical High $512.86 | Facility | None | $208.93 | $363.08 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $331.13 | Professional | None | $100.00 | $131.83 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $229.09 Typical High $288.40 | Professional | None | $194.98 | $229.09 | $288.40 |
Medcost Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $208.93 | Professional | None | $134.90 | $134.90 | $208.93 |
Sentara Setting Facility Modifier None Typical Low $154.88 Median $263.03 Typical High $10,232.93 | Facility | None | $154.88 | $263.03 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $933.25 | Professional | None | $186.21 | $239.88 | $933.25 |
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 $87.10 Median $123.03 Typical High $288.40 | Professional | None | $87.10 | $123.03 | $288.40 |
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 $77.62 Typical High $89.13 | Professional | 52 · Reduced service | $77.62 | $77.62 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $35.48 | Professional | 53 · Discontinued | $30.90 | $30.90 | $35.48 |
Where Virginia sits
The same service costs 5.2 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· 34th of 51
$178
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.