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 $251.19 Median $288.40 Typical High $794.33 | Facility | None | $251.19 | $288.40 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $288.40 | Professional | None | $251.19 | $251.19 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $1,659.59 | Facility | None | $338.84 | $338.84 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $234.42 | Professional | None | $128.82 | $169.82 | $234.42 |
CareFirst Setting Professional Modifier None Typical Low $245.47 Median $269.15 Typical High $316.23 | Professional | None | $245.47 | $269.15 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $562.34 Typical High $851.14 | Facility | None | $346.74 | $562.34 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $204.17 Typical High $575.44 | Professional | None | $72.44 | $204.17 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $467.74 | Professional | None | $323.59 | $371.54 | $467.74 |
Medcost Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $602.56 | Facility | None | $173.78 | $173.78 | $602.56 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $177.83 | Professional | None | $109.65 | $128.82 | $177.83 |
Sentara Setting Facility Modifier None Typical Low $234.42 Median $489.78 Typical High $10,232.93 | Facility | None | $234.42 | $489.78 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $165.96 Median $426.58 Typical High $10,232.93 | Professional | None | $165.96 | $426.58 | $10,232.93 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier None Typical Low $54.95 Median $151.36 Typical High $251.19 | Professional | None | $54.95 | $151.36 | $251.19 |
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 $125.89 Median $125.89 Typical High $144.54 | Professional | 52 · Reduced service | $125.89 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $57.54 | Professional | 53 · Discontinued | $50.12 | $50.12 | $57.54 |
Where Virginia sits
The same service costs 6.6 times more in Texas than in Kentucky. 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· 27th 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.