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 $223.87 Median $251.19 Typical High $691.83 | Facility | None | $223.87 | $251.19 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $251.19 | Professional | None | $223.87 | $223.87 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $1,445.44 | Facility | None | $295.12 | $295.12 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $213.80 | Professional | None | $117.49 | $158.49 | $213.80 |
CareFirst Setting Professional Modifier None Typical Low $213.80 Median $234.42 Typical High $295.12 | Professional | None | $213.80 | $234.42 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $575.44 Typical High $1,000.00 | Facility | None | $302.00 | $575.44 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $181.97 Typical High $467.74 | Professional | None | $141.25 | $181.97 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $323.59 Typical High $416.87 | Professional | None | $281.84 | $323.59 | $416.87 |
Medcost Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $537.03 | Facility | None | $398.11 | $398.11 | $537.03 |
Medcost Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $295.12 | Professional | None | $190.55 | $190.55 | $295.12 |
Sentara Setting Facility Modifier None Typical Low $218.78 Median $380.19 Typical High $10,232.93 | Facility | None | $218.78 | $380.19 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $1,288.25 | Professional | None | $269.15 | $346.74 | $1,288.25 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $407.38 | Professional | None | $123.03 | $177.83 | $407.38 |
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 $112.20 Median $112.20 Typical High $125.89 | Professional | 52 · Reduced service | $112.20 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $50.12 | Professional | 53 · Discontinued | $44.67 | $44.67 | $50.12 |
Where Virginia sits
The same service costs 3.8 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· 35th of 51
$251
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.