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 $128.82 Median $147.91 Typical High $398.11 | Facility | None | $128.82 | $147.91 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $147.91 | Professional | None | $128.82 | $128.82 | $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 $74.13 Median $100.00 Typical High $134.90 | Professional | None | $74.13 | $100.00 | $134.90 |
CareFirst Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $263.03 | Professional | None | $141.25 | $154.88 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $338.84 Typical High $575.44 | Facility | None | $177.83 | $338.84 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $309.03 | Professional | None | $85.11 | $123.03 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $190.55 Typical High $239.88 | Professional | None | $165.96 | $190.55 | $239.88 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $309.03 | Facility | None | $275.42 | $275.42 | $309.03 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $204.17 Typical High $363.08 | Professional | None | $109.65 | $204.17 | $363.08 |
Sentara Setting Facility Modifier None Typical Low $144.54 Median $263.03 Typical High $10,232.93 | Facility | None | $144.54 | $263.03 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $154.88 Median $245.47 Typical High $7,413.10 | Professional | None | $154.88 | $245.47 | $7,413.10 |
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 $72.44 Median $104.71 Typical High $239.88 | Professional | None | $72.44 | $104.71 | $239.88 |
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 $64.57 Median $64.57 Typical High $74.13 | Professional | 52 · Reduced service | $64.57 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $29.51 | Professional | 53 · Discontinued | $25.70 | $25.70 | $29.51 |
Where Virginia sits
The same service costs 3.4 times more in Alaska than in Delaware. 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
$155
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.