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 $109.65 Median $204.17 Typical High $371.54 | Facility | None | $109.65 | $204.17 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $112.20 Typical High $138.04 | Professional | None | $109.65 | $112.20 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $707.95 | Facility | None | $144.54 | $144.54 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $120.23 | Professional | None | $60.26 | $85.11 | $120.23 |
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 $147.91 Median $281.84 Typical High $501.19 | Facility | None | $147.91 | $281.84 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $288.40 | Professional | None | $79.43 | $107.15 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $158.49 Typical High $204.17 | Professional | None | $138.04 | $158.49 | $204.17 |
Medcost Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $288.40 | Facility | None | $269.15 | $269.15 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $47.86 Median $120.23 Typical High $199.53 | Professional | None | $47.86 | $120.23 | $199.53 |
Sentara Setting Facility Modifier None Typical Low $138.04 Median $245.47 Typical High $10,232.93 | Facility | None | $138.04 | $245.47 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $7,413.10 | Professional | None | $138.04 | $208.93 | $7,413.10 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $229.09 | Professional | None | $60.26 | $87.10 | $229.09 |
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 $53.70 Median $53.70 Typical High $69.18 | Professional | 52 · Reduced service | $53.70 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $27.54 | Professional | 53 · Discontinued | $21.88 | $21.88 | $27.54 |
Where Virginia sits
The same service costs 4.9 times more in Alaska than in Alabama. 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· 31st of 51
$138
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.