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 $186.21 Median $208.93 Typical High $575.44 | Facility | None | $186.21 | $208.93 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $208.93 | Professional | None | $186.21 | $186.21 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $1,202.26 | Facility | None | $245.47 | $245.47 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $123.03 Typical High $169.82 | Professional | None | $83.18 | $123.03 | $169.82 |
CareFirst Setting Professional Modifier None Typical Low $177.83 Median $194.98 Typical High $234.42 | Professional | None | $177.83 | $194.98 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $478.63 Typical High $831.76 | Facility | None | $251.19 | $478.63 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $416.87 | Professional | None | $120.23 | $173.78 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $269.15 Typical High $346.74 | Professional | None | $234.42 | $269.15 | $346.74 |
Medcost Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $446.68 | Facility | None | $331.13 | $331.13 | $446.68 |
Medcost Setting Professional Modifier None Typical Low $54.95 Median $95.50 Typical High $245.47 | Professional | None | $54.95 | $95.50 | $245.47 |
Sentara Setting Facility Modifier None Typical Low $173.78 Median $338.84 Typical High $10,232.93 | Facility | None | $173.78 | $338.84 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $213.80 Median $316.23 Typical High $7,413.10 | Professional | None | $213.80 | $316.23 | $7,413.10 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $338.84 | Professional | None | $104.71 | $147.91 | $338.84 |
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 $93.33 Median $93.33 Typical High $104.71 | Professional | 52 · Reduced service | $93.33 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $41.69 | Professional | 53 · Discontinued | $37.15 | $37.15 | $41.69 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in Connecticut. 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· 36th of 51
$195
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.