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 $371.54 Median $426.58 Typical High $1,174.90 | Facility | None | $371.54 | $426.58 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $446.68 | Professional | None | $371.54 | $371.54 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $2,454.71 | Facility | None | $501.19 | $501.19 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $363.08 | Professional | None | $199.53 | $269.15 | $363.08 |
CareFirst Setting Professional Modifier None Typical Low $407.38 Median $446.68 Typical High $758.58 | Professional | None | $407.38 | $446.68 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $870.96 Typical High $1,258.93 | Facility | None | $512.86 | $870.96 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $891.25 | Professional | None | $245.47 | $371.54 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $549.54 Typical High $691.83 | Professional | None | $478.63 | $549.54 | $691.83 |
Medcost Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $891.25 | Facility | None | $676.08 | $676.08 | $891.25 |
Medcost Setting Professional Modifier None Typical Low $323.59 Median $501.19 Typical High $1,737.80 | Professional | None | $323.59 | $501.19 | $1,737.80 |
Sentara Setting Facility Modifier None Typical Low $446.68 Median $851.14 Typical High $10,232.93 | Facility | None | $446.68 | $851.14 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $446.68 Median $724.44 Typical High $10,232.93 | Professional | None | $446.68 | $724.44 | $10,232.93 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
United Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $691.83 | Professional | None | $208.93 | $302.00 | $691.83 |
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 $186.21 Median $186.21 Typical High $213.80 | Professional | 52 · Reduced service | $186.21 | $186.21 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $85.11 | Professional | 53 · Discontinued | $74.13 | $74.13 | $85.11 |
Where Virginia sits
The same service costs 3.8 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· 37th of 51
$447
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.