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 $131.83 Median $147.91 Typical High $407.38 | Facility | None | $131.83 | $147.91 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $147.91 | Professional | None | $131.83 | $131.83 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $851.14 | Facility | None | $173.78 | $173.78 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $123.03 | Professional | None | $70.79 | $97.72 | $123.03 |
CareFirst Setting Professional Modifier None Typical Low $125.89 Median $141.25 Typical High $165.96 | Professional | None | $125.89 | $141.25 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $309.03 Typical High $436.52 | Facility | None | $177.83 | $309.03 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $281.84 | Professional | None | $85.11 | $109.65 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $245.47 | Professional | None | $165.96 | $194.98 | $245.47 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $141.25 | Professional | None | $114.82 | $114.82 | $141.25 |
Sentara Setting Facility Modifier None Typical Low $131.83 Median $223.87 Typical High $10,232.93 | Facility | None | $131.83 | $223.87 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $158.49 Median $194.98 Typical High $776.25 | Professional | None | $158.49 | $194.98 | $776.25 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $245.47 | Professional | None | $74.13 | $104.71 | $245.47 |
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 $66.07 Median $66.07 Typical High $74.13 | Professional | 52 · Reduced service | $66.07 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $29.51 | Professional | 53 · Discontinued | $26.30 | $26.30 | $29.51 |
Where Virginia sits
The same service costs 8.3 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· 37th of 51
$148
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.