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 $151.36 Median $169.82 Typical High $467.74 | Facility | None | $151.36 | $169.82 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $169.82 | Professional | None | $151.36 | $151.36 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $977.24 | Facility | None | $199.53 | $199.53 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $138.04 | Professional | None | $79.43 | $100.00 | $138.04 |
CareFirst Setting Professional Modifier None Typical Low $162.18 Median $181.97 Typical High $302.00 | Professional | None | $162.18 | $181.97 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $389.05 Typical High $676.08 | Facility | None | $204.17 | $389.05 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $338.84 | Professional | None | $100.00 | $147.91 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $218.78 Typical High $281.84 | Professional | None | $190.55 | $218.78 | $281.84 |
Medcost Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $363.08 | Facility | None | $269.15 | $269.15 | $363.08 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $199.53 | Professional | None | $128.82 | $128.82 | $199.53 |
Sentara Setting Facility Modifier None Typical Low $181.97 Median $338.84 Typical High $10,232.93 | Facility | None | $181.97 | $338.84 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $181.97 Median $288.40 Typical High $10,232.93 | Professional | None | $181.97 | $288.40 | $10,232.93 |
United Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
United Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $275.42 | Professional | None | $83.18 | $120.23 | $275.42 |
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 $75.86 Median $75.86 Typical High $85.11 | Professional | 52 · Reduced service | $75.86 | $75.86 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $33.88 | Professional | 53 · Discontinued | $30.20 | $30.20 | $33.88 |
Where Virginia sits
The same service costs 3.8 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· 35th of 51
$182
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.