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 $177.83 Median $302.00 Typical High $549.54 | Facility | None | $177.83 | $302.00 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $204.17 | Professional | None | $177.83 | $177.83 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $1,174.90 | Facility | None | $239.88 | $239.88 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $173.78 | Professional | None | $95.50 | $128.82 | $173.78 |
CareFirst Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $239.88 | Professional | None | $169.82 | $190.55 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $416.87 Typical High $676.08 | Facility | None | $239.88 | $416.87 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $144.54 Typical High $407.38 | Professional | None | $91.20 | $144.54 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $331.13 | Professional | None | $223.87 | $263.03 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $426.58 | Facility | None | $218.78 | $218.78 | $426.58 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $162.18 | Professional | None | $109.65 | $109.65 | $162.18 |
Sentara Setting Facility Modifier None Typical Low $204.17 Median $346.74 Typical High $10,232.93 | Facility | None | $204.17 | $346.74 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $169.82 Median $302.00 Typical High $10,232.93 | Professional | None | $169.82 | $302.00 | $10,232.93 |
United Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
United Setting Professional Modifier None Typical Low $67.61 Median $112.20 Typical High $239.88 | Professional | None | $67.61 | $112.20 | $239.88 |
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 $89.13 Median $89.13 Typical High $100.00 | Professional | 52 · Reduced service | $89.13 | $89.13 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $40.74 | Professional | 53 · Discontinued | $35.48 | $35.48 | $40.74 |
Where Virginia sits
The same service costs 3.8 times more in Alaska than in Oklahoma. 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
$200
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.