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 $257.04 Typical High $691.83 | Facility | None | $223.87 | $257.04 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $257.04 | Professional | None | $223.87 | $223.87 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $1,479.11 | Facility | None | $302.00 | $302.00 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $218.78 | Professional | None | $120.23 | $162.18 | $218.78 |
CareFirst Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $281.84 | Professional | None | $213.80 | $239.88 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $758.58 | Facility | None | $309.03 | $501.19 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $181.97 Typical High $512.86 | Professional | None | $48.98 | $181.97 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $416.87 | Professional | None | $281.84 | $331.13 | $416.87 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $537.03 | Facility | None | $117.49 | $117.49 | $537.03 |
Medcost Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $194.98 | Professional | None | $87.10 | $87.10 | $194.98 |
Sentara Setting Facility Modifier None Typical Low $208.93 Median $436.52 Typical High $10,232.93 | Facility | None | $208.93 | $436.52 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $112.20 Median $380.19 Typical High $10,232.93 | Professional | None | $112.20 | $380.19 | $10,232.93 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
United Setting Professional Modifier None Typical Low $37.15 Median $131.83 Typical High $181.97 | Professional | None | $37.15 | $131.83 | $181.97 |
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 $128.82 | Professional | 52 · Reduced service | $112.20 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $51.29 | Professional | 53 · Discontinued | $44.67 | $44.67 | $51.29 |
Where Virginia sits
The same service costs 6.9 times more in Texas than in North Carolina. 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· 27th of 51
$240
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.