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 $194.98 Median $245.47 Typical High $676.08 | Facility | None | $194.98 | $245.47 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $245.47 | Professional | None | $194.98 | $194.98 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $1,288.25 | Facility | None | $263.03 | $263.03 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $234.42 | Professional | None | $128.82 | $158.49 | $234.42 |
CareFirst Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $323.59 | Professional | None | $208.93 | $234.42 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $512.86 Typical High $912.01 | Facility | None | $263.03 | $512.86 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $512.86 | Professional | None | $141.25 | $194.98 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $363.08 | Professional | None | $245.47 | $288.40 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $524.81 | Facility | None | $478.63 | $478.63 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $354.81 | Professional | None | $144.54 | $144.54 | $354.81 |
Sentara Setting Facility Modifier None Typical Low $245.47 Median $446.68 Typical High $10,232.93 | Facility | None | $245.47 | $446.68 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $245.47 Median $380.19 Typical High $7,413.10 | Professional | None | $245.47 | $380.19 | $7,413.10 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
United Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $407.38 | Professional | None | $109.65 | $154.88 | $407.38 |
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 $97.72 Median $97.72 Typical High $123.03 | Professional | 52 · Reduced service | $97.72 | $97.72 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $48.98 | Professional | 53 · Discontinued | $38.90 | $38.90 | $48.98 |
Where Virginia sits
The same service costs 3.4 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
$245
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.