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 $154.88 Median $194.98 Typical High $537.03 | Facility | None | $154.88 | $194.98 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $194.98 | Professional | None | $154.88 | $154.88 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $1,023.29 | Facility | None | $208.93 | $208.93 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $173.78 | Professional | None | $102.33 | $125.89 | $173.78 |
CareFirst Setting Professional Modifier None Typical Low $169.82 Median $186.21 Typical High $316.23 | Professional | None | $169.82 | $186.21 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $407.38 Typical High $724.44 | Facility | None | $213.80 | $407.38 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $407.38 | Professional | None | $114.82 | $154.88 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $229.09 Typical High $288.40 | Professional | None | $194.98 | $229.09 | $288.40 |
Medcost Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $416.87 | Facility | None | $380.19 | $380.19 | $416.87 |
Medcost Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $281.84 | Professional | None | $144.54 | $144.54 | $281.84 |
Sentara Setting Facility Modifier None Typical Low $194.98 Median $354.81 Typical High $10,232.93 | Facility | None | $194.98 | $354.81 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $194.98 Median $302.00 Typical High $7,413.10 | Professional | None | $194.98 | $302.00 | $7,413.10 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
United Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $323.59 | Professional | None | $87.10 | $125.89 | $323.59 |
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 $77.62 Median $77.62 Typical High $97.72 | Professional | 52 · Reduced service | $77.62 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $38.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $38.90 |
Where Virginia sits
The same service costs 5.1 times more in California 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· 34th of 51
$195
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.