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 $676.08 Median $758.58 Typical High $2,089.30 | Facility | None | $676.08 | $758.58 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $794.33 | Professional | None | $676.08 | $676.08 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $4,365.16 | Facility | None | $891.25 | $891.25 | $4,365.16 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $446.68 Typical High $616.60 | Professional | None | $363.08 | $446.68 | $616.60 |
CareFirst Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $851.14 | Professional | None | $645.65 | $724.44 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,513.56 Typical High $2,290.87 | Facility | None | $912.01 | $1,513.56 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $645.65 Typical High $1,513.56 | Professional | None | $446.68 | $645.65 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,258.93 | Professional | None | $851.14 | $1,000.00 | $1,258.93 |
Medcost Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,621.81 | Facility | None | $1,202.26 | $1,202.26 | $1,621.81 |
Medcost Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $891.25 | Professional | None | $588.84 | $588.84 | $891.25 |
Sentara Setting Facility Modifier None Typical Low $812.83 Median $1,513.56 Typical High $10,232.93 | Facility | None | $812.83 | $1,513.56 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $812.83 Median $1,288.25 Typical High $10,232.93 | Professional | None | $812.83 | $1,288.25 | $10,232.93 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $1,258.93 | Professional | None | $380.19 | $537.03 | $1,258.93 |
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 $338.84 Median $338.84 Typical High $380.19 | Professional | 52 · Reduced service | $338.84 | $338.84 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $151.36 | Professional | 53 · Discontinued | $134.90 | $134.90 | $151.36 |
Where Virginia sits
The same service costs 5.1 times more in Texas 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· 35th of 51
$724
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.