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 $151.36 Median $190.55 Typical High $524.81 | Facility | None | $151.36 | $190.55 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $190.55 | Professional | None | $151.36 | $151.36 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $977.24 | Facility | None | $199.53 | $199.53 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $123.03 Typical High $165.96 | Professional | None | $97.72 | $123.03 | $165.96 |
CareFirst Setting Professional Modifier None Typical Low $162.18 Median $181.97 Typical High $213.80 | Professional | None | $162.18 | $181.97 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $389.05 Typical High $707.95 | Facility | None | $204.17 | $389.05 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $398.11 | Professional | None | $109.65 | $151.36 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $281.84 | Professional | None | $190.55 | $223.87 | $281.84 |
Medcost Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $398.11 | Facility | None | $371.54 | $371.54 | $398.11 |
Medcost Setting Professional Modifier None Typical Low $144.54 Median $177.83 Typical High $275.42 | Professional | None | $144.54 | $177.83 | $275.42 |
Sentara Setting Facility Modifier None Typical Low $190.55 Median $338.84 Typical High $10,232.93 | Facility | None | $190.55 | $338.84 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $190.55 Median $288.40 Typical High $7,413.10 | Professional | None | $190.55 | $288.40 | $7,413.10 |
United Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
United Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $316.23 | Professional | None | $85.11 | $120.23 | $316.23 |
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 $75.86 Median $75.86 Typical High $95.50 | Professional | 52 · Reduced service | $75.86 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $38.02 | Professional | 53 · Discontinued | $30.20 | $30.20 | $38.02 |
Where Virginia sits
The same service costs 3.2 times more in Alaska 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
$182
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.