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 $165.96 Typical High $446.68 | Facility | None | $144.54 | $165.96 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $165.96 | Professional | None | $144.54 | $144.54 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $954.99 | Facility | None | $194.98 | $194.98 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $138.04 | Professional | None | $77.62 | $107.15 | $138.04 |
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 $338.84 Typical High $478.63 | Facility | None | $194.98 | $338.84 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $309.03 | Professional | None | $93.33 | $123.03 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $269.15 | Professional | None | $181.97 | $213.80 | $269.15 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $154.88 | Professional | None | $125.89 | $125.89 | $154.88 |
Sentara Setting Facility Modifier None Typical Low $144.54 Median $245.47 Typical High $10,232.93 | Facility | None | $144.54 | $245.47 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $173.78 Median $213.80 Typical High $851.14 | Professional | None | $173.78 | $213.80 | $851.14 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
United Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $269.15 | Professional | None | $81.28 | $114.82 | $269.15 |
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 $33.11 | Professional | 53 · Discontinued | $28.84 | $28.84 | $33.11 |
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· 34th of 51
$166
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.