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 $281.84 Median $316.23 Typical High $870.96 | Facility | None | $281.84 | $316.23 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $316.23 | Professional | None | $281.84 | $281.84 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $1,819.70 | Facility | None | $371.54 | $371.54 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $275.42 | Professional | None | $151.36 | $204.17 | $275.42 |
CareFirst Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $354.81 | Professional | None | $269.15 | $302.00 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $724.44 Typical High $1,122.02 | Facility | None | $380.19 | $724.44 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $588.84 | Professional | None | $177.83 | $229.09 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $416.87 Typical High $524.81 | Professional | None | $354.81 | $416.87 | $524.81 |
Medcost Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $676.08 | Facility | None | $501.19 | $501.19 | $676.08 |
Medcost Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $371.54 | Professional | None | $245.47 | $245.47 | $371.54 |
Sentara Setting Facility Modifier None Typical Low $275.42 Median $478.63 Typical High $10,232.93 | Facility | None | $275.42 | $478.63 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $1,659.59 | Professional | None | $338.84 | $436.52 | $1,659.59 |
United Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
United Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $524.81 | Professional | None | $158.49 | $223.87 | $524.81 |
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 $141.25 Median $141.25 Typical High $158.49 | Professional | 52 · Reduced service | $141.25 | $141.25 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $63.10 | Professional | 53 · Discontinued | $56.23 | $56.23 | $63.10 |
Where Virginia sits
The same service costs 6.5 times more in Texas than in Alabama. 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
$316
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.