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 $263.03 Median $446.68 Typical High $812.83 | Facility | None | $263.03 | $446.68 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $295.12 | Professional | None | $263.03 | $263.03 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $1,698.24 | Facility | None | $346.74 | $346.74 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $194.98 Typical High $263.03 | Professional | None | $144.54 | $194.98 | $263.03 |
CareFirst Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $331.13 | Professional | None | $251.19 | $281.84 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $676.08 Typical High $1,174.90 | Facility | None | $354.81 | $676.08 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $245.47 Typical High $602.56 | Professional | None | $173.78 | $245.47 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $380.19 Typical High $489.78 | Professional | None | $331.13 | $380.19 | $489.78 |
Medcost Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $630.96 | Facility | None | $537.03 | $537.03 | $630.96 |
Medcost Setting Professional Modifier None Typical Low $208.93 Median $398.11 Typical High $436.52 | Professional | None | $208.93 | $398.11 | $436.52 |
Sentara Setting Facility Modifier None Typical Low $316.23 Median $588.84 Typical High $10,232.93 | Facility | None | $316.23 | $588.84 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $323.59 Median $489.78 Typical High $10,232.93 | Professional | None | $323.59 | $489.78 | $10,232.93 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $478.63 | Professional | None | $147.91 | $208.93 | $478.63 |
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 $131.83 Median $131.83 Typical High $147.91 | Professional | 52 · Reduced service | $131.83 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $58.88 | Professional | 53 · Discontinued | $52.48 | $52.48 | $58.88 |
Where Virginia sits
The same service costs 4.5 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
$295
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.