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 $263.03 Typical High $724.44 | Facility | None | $229.09 | $263.03 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $263.03 | Professional | None | $229.09 | $229.09 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $1,513.56 | Facility | None | $309.03 | $309.03 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $213.80 | Professional | None | $123.03 | $154.88 | $213.80 |
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 $316.23 Median $537.03 Typical High $776.25 | Facility | None | $316.23 | $537.03 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $186.21 Typical High $524.81 | Professional | None | $91.20 | $186.21 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $426.58 | Professional | None | $295.12 | $338.84 | $426.58 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $549.54 | Facility | None | $218.78 | $218.78 | $549.54 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $162.18 Typical High $177.83 | Professional | None | $109.65 | $162.18 | $177.83 |
Sentara Setting Facility Modifier None Typical Low $213.80 Median $446.68 Typical High $10,232.93 | Facility | None | $213.80 | $446.68 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $199.53 Median $389.05 Typical High $10,232.93 | Professional | None | $199.53 | $389.05 | $10,232.93 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
United Setting Professional Modifier None Typical Low $67.61 Median $141.25 Typical High $269.15 | Professional | None | $67.61 | $141.25 | $269.15 |
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 $131.83 | Professional | 52 · Reduced service | $114.82 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $52.48 | Professional | 53 · Discontinued | $45.71 | $45.71 | $52.48 |
Where Virginia sits
The same service costs 5.9 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· 26th 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.