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 $218.78 Median $275.42 Typical High $758.58 | Facility | None | $218.78 | $275.42 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $275.42 | Professional | None | $218.78 | $218.78 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $1,445.44 | Facility | None | $295.12 | $295.12 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $177.83 Typical High $263.03 | Professional | None | $144.54 | $177.83 | $263.03 |
CareFirst Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $309.03 | Professional | None | $239.88 | $263.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $575.44 Typical High $1,023.29 | Facility | None | $302.00 | $575.44 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $588.84 | Professional | None | $162.18 | $218.78 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $323.59 Typical High $416.87 | Professional | None | $281.84 | $323.59 | $416.87 |
Medcost Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $588.84 | Facility | None | $537.03 | $537.03 | $588.84 |
Medcost Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $398.11 | Professional | None | $234.42 | $354.81 | $398.11 |
Sentara Setting Facility Modifier None Typical Low $281.84 Median $501.19 Typical High $10,232.93 | Facility | None | $281.84 | $501.19 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $7,413.10 | Professional | None | $281.84 | $416.87 | $7,413.10 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $457.09 | Professional | None | $123.03 | $177.83 | $457.09 |
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 $109.65 Median $109.65 Typical High $138.04 | Professional | 52 · Reduced service | $109.65 | $109.65 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $56.23 | Professional | 53 · Discontinued | $44.67 | $44.67 | $56.23 |
Where Virginia sits
The same service costs 3.8 times more in Alaska 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· 33rd of 51
$275
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.