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 $338.84 Median $380.19 Typical High $1,047.13 | Facility | None | $338.84 | $380.19 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $380.19 | Professional | None | $338.84 | $338.84 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $2,187.76 | Facility | None | $446.68 | $446.68 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $323.59 | Professional | None | $181.97 | $239.88 | $323.59 |
CareFirst Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $426.58 | Professional | None | $323.59 | $363.08 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $870.96 Typical High $1,513.56 | Facility | None | $457.09 | $870.96 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $323.59 Typical High $758.58 | Professional | None | $223.87 | $323.59 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $630.96 | Professional | None | $426.58 | $501.19 | $630.96 |
Medcost Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $812.83 | Facility | None | $616.60 | $616.60 | $812.83 |
Medcost Setting Professional Modifier None Typical Low $144.54 Median $446.68 Typical High $602.56 | Professional | None | $144.54 | $446.68 | $602.56 |
Sentara Setting Facility Modifier None Typical Low $407.38 Median $630.96 Typical High $10,232.93 | Facility | None | $407.38 | $630.96 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $407.38 Median $562.34 Typical High $2,089.30 | Professional | None | $407.38 | $562.34 | $2,089.30 |
United Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
United Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $630.96 | Professional | None | $190.55 | $269.15 | $630.96 |
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 $169.82 Median $169.82 Typical High $190.55 | Professional | 52 · Reduced service | $169.82 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $75.86 | Professional | 53 · Discontinued | $67.61 | $67.61 | $75.86 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 34th of 51
$380
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.