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 $123.03 Median $229.09 Typical High $426.58 | Facility | None | $123.03 | $229.09 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $128.82 Typical High $154.88 | Professional | None | $123.03 | $128.82 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $812.83 | Facility | None | $162.18 | $162.18 | $812.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $134.90 | Professional | None | $69.18 | $97.72 | $134.90 |
CareFirst Setting Professional Modifier None Typical Low $117.49 Median $131.83 Typical High $154.88 | Professional | None | $117.49 | $131.83 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $316.23 Typical High $575.44 | Facility | None | $165.96 | $316.23 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $123.03 Typical High $323.59 | Professional | None | $89.13 | $123.03 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $229.09 | Professional | None | $154.88 | $181.97 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $331.13 | Facility | None | $302.00 | $302.00 | $331.13 |
Medcost Setting Professional Modifier None Typical Low $47.86 Median $120.23 Typical High $223.87 | Professional | None | $47.86 | $120.23 | $223.87 |
Sentara Setting Facility Modifier None Typical Low $154.88 Median $275.42 Typical High $10,232.93 | Facility | None | $154.88 | $275.42 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $154.88 Median $234.42 Typical High $7,413.10 | Professional | None | $154.88 | $234.42 | $7,413.10 |
United Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
United Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $257.04 | Professional | None | $69.18 | $97.72 | $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 $61.66 Median $61.66 Typical High $77.62 | Professional | 52 · Reduced service | $61.66 | $61.66 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $30.90 | Professional | 53 · Discontinued | $24.55 | $24.55 | $30.90 |
Where Virginia sits
The same service costs 3.8 times more in Alaska than in Connecticut. 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· 33rd of 51
$151
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.