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 $870.96 Median $977.24 Typical High $2,691.53 | Facility | None | $870.96 | $977.24 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $977.24 | Professional | None | $870.96 | $870.96 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,466.84 Median $5,623.41 Typical High $7,244.36 | Facility | None | $4,466.84 | $5,623.41 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $489.78 Typical High $794.33 | Professional | None | $363.08 | $489.78 | $794.33 |
CareFirst Setting Professional Modifier None Typical Low $870.96 Median $954.99 Typical High $1,122.02 | Professional | None | $870.96 | $954.99 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,949.84 Typical High $2,884.03 | Facility | None | $1,174.90 | $1,949.84 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $630.96 Typical High $1,148.15 | Professional | None | $14.13 | $630.96 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $1,659.59 | Professional | None | $1,148.15 | $1,318.26 | $1,659.59 |
Medcost Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $933.25 | Professional | None | $758.58 | $758.58 | $933.25 |
Sentara Setting Facility Modifier None Typical Low $831.76 Median $1,445.44 Typical High $10,232.93 | Facility | None | $831.76 | $1,445.44 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $4,265.80 | Professional | None | $1,071.52 | $1,348.96 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
United Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $1,621.81 | Professional | None | $489.78 | $691.83 | $1,621.81 |
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 $436.52 Median $436.52 Typical High $489.78 | Professional | 52 · Reduced service | $436.52 | $436.52 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $194.98 | Professional | 53 · Discontinued | $173.78 | $173.78 | $194.98 |
Where Virginia sits
The same service costs 5.4 times more in Alaska than in Alabama. 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
$871
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.