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 $208.93 Median $239.88 Typical High $645.65 | Facility | None | $208.93 | $239.88 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $239.88 | Professional | None | $208.93 | $208.93 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $1,380.38 | Facility | None | $281.84 | $281.84 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $151.36 Typical High $204.17 | Professional | None | $112.20 | $151.36 | $204.17 |
CareFirst Setting Professional Modifier None Typical Low $229.09 Median $251.19 Typical High $426.58 | Professional | None | $229.09 | $251.19 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $467.74 Typical High $707.95 | Facility | None | $275.42 | $467.74 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $478.63 | Professional | None | $138.04 | $208.93 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $309.03 Typical High $389.05 | Professional | None | $263.03 | $309.03 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $501.19 | Facility | None | $371.54 | $371.54 | $501.19 |
Medcost Setting Professional Modifier None Typical Low $30.20 Median $281.84 Typical High $1,071.52 | Professional | None | $30.20 | $281.84 | $1,071.52 |
Sentara Setting Facility Modifier None Typical Low $251.19 Median $478.63 Typical High $10,232.93 | Facility | None | $251.19 | $478.63 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $251.19 Median $407.38 Typical High $10,232.93 | Professional | None | $251.19 | $407.38 | $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 $117.49 Median $169.82 Typical High $389.05 | Professional | None | $117.49 | $169.82 | $389.05 |
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 $104.71 Median $104.71 Typical High $120.23 | Professional | 52 · Reduced service | $104.71 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $47.86 | Professional | 53 · Discontinued | $41.69 | $41.69 | $47.86 |
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
$251
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.