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 $131.83 Median $147.91 Typical High $407.38 | Facility | None | $131.83 | $147.91 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $147.91 | Professional | None | $131.83 | $131.83 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $851.14 | Facility | None | $173.78 | $173.78 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $87.10 Typical High $120.23 | Professional | None | $58.88 | $87.10 | $120.23 |
CareFirst Setting Professional Modifier None Typical Low $125.89 Median $141.25 Typical High $165.96 | Professional | None | $125.89 | $141.25 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $338.84 Typical High $588.84 | Facility | None | $177.83 | $338.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $295.12 | Professional | None | $87.10 | $123.03 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $190.55 Typical High $245.47 | Professional | None | $165.96 | $190.55 | $245.47 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $316.23 | Facility | None | $234.42 | $234.42 | $316.23 |
Medcost Setting Professional Modifier None Typical Low $95.50 Median $151.36 Typical High $173.78 | Professional | None | $95.50 | $151.36 | $173.78 |
Sentara Setting Facility Modifier None Typical Low $158.49 Median $245.47 Typical High $10,232.93 | Facility | None | $158.49 | $245.47 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $812.83 | Professional | None | $158.49 | $218.78 | $812.83 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $245.47 | Professional | None | $74.13 | $104.71 | $245.47 |
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 $66.07 Median $66.07 Typical High $74.13 | Professional | 52 · Reduced service | $66.07 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $29.51 | Professional | 53 · Discontinued | $26.30 | $26.30 | $29.51 |
Where Virginia sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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
$148
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.