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 $123.03 Median $141.25 Typical High $389.05 | Facility | None | $123.03 | $141.25 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $141.25 | Professional | None | $123.03 | $123.03 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $812.83 | Facility | None | $165.96 | $165.96 | $812.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $83.18 Typical High $114.82 | Professional | None | $56.23 | $83.18 | $114.82 |
CareFirst Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $154.88 | Professional | None | $120.23 | $131.83 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $316.23 Typical High $562.34 | Facility | None | $169.82 | $316.23 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $281.84 | Professional | None | $81.28 | $117.49 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $181.97 Typical High $229.09 | Professional | None | $158.49 | $181.97 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $295.12 | Facility | None | $223.87 | $223.87 | $295.12 |
Medcost Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $165.96 | Professional | None | $107.15 | $107.15 | $165.96 |
Sentara Setting Facility Modifier None Typical Low $117.49 Median $229.09 Typical High $10,232.93 | Facility | None | $117.49 | $229.09 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $7,413.10 | Professional | None | $144.54 | $208.93 | $7,413.10 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
United Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $229.09 | Professional | None | $69.18 | $100.00 | $229.09 |
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 $61.66 Median $61.66 Typical High $70.79 | Professional | 52 · Reduced service | $61.66 | $61.66 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $28.18 | Professional | 53 · Discontinued | $24.55 | $24.55 | $28.18 |
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· 40th of 51
$132
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.