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 $218.78 Median $245.47 Typical High $676.08 | Facility | None | $218.78 | $245.47 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $245.47 | Professional | None | $218.78 | $218.78 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $1,412.54 | Facility | None | $288.40 | $288.40 | $1,412.54 |
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 $208.93 Median $234.42 Typical High $275.42 | Professional | None | $208.93 | $234.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $562.34 Typical High $870.96 | Facility | None | $295.12 | $562.34 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $181.97 Typical High $457.09 | Professional | None | $138.04 | $181.97 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $407.38 | Professional | None | $275.42 | $323.59 | $407.38 |
Medcost Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $524.81 | Facility | None | $389.05 | $389.05 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $288.40 | Professional | None | $190.55 | $190.55 | $288.40 |
Sentara Setting Facility Modifier None Typical Low $218.78 Median $371.54 Typical High $10,232.93 | Facility | None | $218.78 | $371.54 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $1,288.25 | Professional | None | $263.03 | $338.84 | $1,288.25 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
United Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $407.38 | Professional | None | $123.03 | $173.78 | $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 $109.65 Median $109.65 Typical High $123.03 | Professional | 52 · Reduced service | $109.65 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $48.98 | Professional | 53 · Discontinued | $43.65 | $43.65 | $48.98 |
Where Virginia sits
The same service costs 4.5 times more in Texas than in Delaware. 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
$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.