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 $138.04 Median $158.49 Typical High $426.58 | Facility | None | $138.04 | $158.49 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $158.49 | Professional | None | $138.04 | $138.04 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $912.01 | Facility | None | $186.21 | $186.21 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $134.90 | Professional | None | $74.13 | $100.00 | $134.90 |
CareFirst Setting Professional Modifier None Typical Low $151.36 Median $165.96 Typical High $281.84 | Professional | None | $151.36 | $165.96 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $363.08 Typical High $691.83 | Facility | None | $190.55 | $363.08 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $331.13 | Professional | None | $91.20 | $138.04 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $204.17 Typical High $257.04 | Professional | None | $177.83 | $204.17 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $331.13 | Facility | None | $245.47 | $245.47 | $331.13 |
Medcost Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $186.21 | Professional | None | $120.23 | $120.23 | $186.21 |
Sentara Setting Facility Modifier None Typical Low $165.96 Median $316.23 Typical High $10,232.93 | Facility | None | $165.96 | $316.23 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $165.96 Median $269.15 Typical High $10,232.93 | Professional | None | $165.96 | $269.15 | $10,232.93 |
United Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $257.04 | Professional | None | $77.62 | $112.20 | $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 $69.18 Median $69.18 Typical High $79.43 | Professional | 52 · Reduced service | $69.18 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $31.62 | Professional | 53 · Discontinued | $27.54 | $27.54 | $31.62 |
Where Virginia sits
The same service costs 8.3 times more in California 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· 38th of 51
$166
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.