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 $229.09 Median $257.04 Typical High $707.95 | Facility | None | $229.09 | $257.04 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $257.04 | Professional | None | $229.09 | $229.09 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $1,479.11 | Facility | None | $302.00 | $302.00 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $223.87 | Professional | None | $123.03 | $165.96 | $223.87 |
CareFirst Setting Professional Modifier None Typical Low $218.78 Median $245.47 Typical High $288.40 | Professional | None | $218.78 | $245.47 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $588.84 Typical High $912.01 | Facility | None | $309.03 | $588.84 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $218.78 Typical High $512.86 | Professional | None | $151.36 | $218.78 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $338.84 Typical High $426.58 | Professional | None | $288.40 | $338.84 | $426.58 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $549.54 | Facility | None | $407.38 | $407.38 | $549.54 |
Medcost Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $302.00 | Professional | None | $151.36 | $151.36 | $302.00 |
Sentara Setting Facility Modifier None Typical Low $275.42 Median $512.86 Typical High $10,232.93 | Facility | None | $275.42 | $512.86 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $275.42 Median $426.58 Typical High $10,232.93 | Professional | None | $275.42 | $426.58 | $10,232.93 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
United Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $426.58 | Professional | None | $128.82 | $181.97 | $426.58 |
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 $114.82 Median $114.82 Typical High $128.82 | Professional | 52 · Reduced service | $114.82 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $51.29 | Professional | 53 · Discontinued | $45.71 | $45.71 | $51.29 |
Where Virginia sits
The same service costs 5.5 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· 32nd of 51
$257
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.