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 $331.13 Median $371.54 Typical High $1,023.29 | Facility | None | $331.13 | $371.54 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $371.54 | Professional | None | $331.13 | $331.13 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $2,137.96 | Facility | None | $436.52 | $436.52 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $239.88 Typical High $323.59 | Professional | None | $177.83 | $239.88 | $323.59 |
CareFirst Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $478.63 | Professional | None | $316.23 | $354.81 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $741.31 Typical High $1,122.02 | Facility | None | $446.68 | $741.31 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $269.15 Typical High $741.31 | Professional | None | $100.00 | $269.15 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $478.63 Typical High $616.60 | Professional | None | $416.87 | $478.63 | $616.60 |
Medcost Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $794.33 | Facility | None | $239.88 | $239.88 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $288.40 | Professional | None | $177.83 | $177.83 | $288.40 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None Typical Low $74.13 Median $199.53 Typical High $338.84 | Professional | None | $74.13 | $199.53 | $338.84 |
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 $165.96 Median $165.96 Typical High $186.21 | Professional | 52 · Reduced service | $165.96 | $165.96 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $74.13 | Professional | 53 · Discontinued | $66.07 | $66.07 | $74.13 |
Where Virginia sits
The same service costs 7.1 times more in Texas than in North Carolina. 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
$331
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.