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 $204.17 Median $234.42 Typical High $645.65 | Facility | None | $204.17 | $234.42 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $234.42 | Professional | None | $204.17 | $204.17 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $1,348.96 | Facility | None | $275.42 | $275.42 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $199.53 | Professional | None | $109.65 | $147.91 | $199.53 |
CareFirst Setting Professional Modifier None Typical Low $223.87 Median $245.47 Typical High $288.40 | Professional | None | $223.87 | $245.47 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $524.81 Typical High $812.83 | Facility | None | $281.84 | $524.81 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $426.58 | Professional | None | $128.82 | $169.82 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $389.05 | Professional | None | $263.03 | $302.00 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $489.78 | Facility | None | $371.54 | $371.54 | $489.78 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $275.42 | Professional | None | $177.83 | $177.83 | $275.42 |
Sentara Setting Facility Modifier None Typical Low $204.17 Median $354.81 Typical High $10,232.93 | Facility | None | $204.17 | $354.81 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $1,202.26 | Professional | None | $245.47 | $316.23 | $1,202.26 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $380.19 | Professional | None | $114.82 | $165.96 | $380.19 |
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 $102.33 Median $102.33 Typical High $117.49 | Professional | 52 · Reduced service | $102.33 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $46.77 | Professional | 53 · Discontinued | $41.69 | $41.69 | $46.77 |
Where Virginia sits
The same service costs 5.0 times more in Texas 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
$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.