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 $144.54 Median $162.18 Typical High $446.68 | Facility | None | $144.54 | $162.18 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $162.18 | Professional | None | $144.54 | $144.54 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $933.25 Typical High $1,174.90 | Facility | None | $724.44 | $933.25 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $47.86 Typical High $131.83 | Professional | None | $33.11 | $47.86 | $131.83 |
CareFirst Setting Professional Modifier None Typical Low $138.04 Median $154.88 Typical High $181.97 | Professional | None | $138.04 | $154.88 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $371.54 Typical High $575.44 | Facility | None | $194.98 | $371.54 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $107.15 Typical High $190.55 | Professional | None | $39.81 | $107.15 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $208.93 Typical High $269.15 | Professional | None | $181.97 | $208.93 | $269.15 |
Medcost Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $346.74 | Facility | None | $112.20 | $112.20 | $346.74 |
Medcost Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $95.50 | Professional | None | $83.18 | $83.18 | $95.50 |
Sentara Setting Facility Modifier None Typical Low $83.18 Median $239.88 Typical High $10,232.93 | Facility | None | $83.18 | $239.88 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $83.18 Median $177.83 Typical High $851.14 | Professional | None | $83.18 | $177.83 | $851.14 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $35.48 Median $87.10 Typical High $162.18 | Professional | None | $35.48 | $87.10 | $162.18 |
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 $72.44 Median $72.44 Typical High $81.28 | Professional | 52 · Reduced service | $72.44 | $72.44 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $32.36 | Professional | 53 · Discontinued | $28.84 | $28.84 | $32.36 |
Where Virginia sits
The same service costs 5.4 times more in Texas than in Ohio. 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
$132
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.