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 $302.00 Median $562.34 Typical High $1,047.13 | Facility | None | $302.00 | $562.34 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $316.23 Typical High $478.63 | Professional | None | $302.00 | $316.23 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $1,949.84 | Facility | None | $398.11 | $398.11 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $245.47 Typical High $331.13 | Professional | None | $194.98 | $245.47 | $331.13 |
CareFirst Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $426.58 | Professional | None | $323.59 | $363.08 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $776.25 Typical High $1,412.54 | Facility | None | $407.38 | $776.25 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $794.33 | Professional | None | $218.78 | $302.00 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $562.34 | Professional | None | $380.19 | $446.68 | $562.34 |
Medcost Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $794.33 | Facility | None | $741.31 | $741.31 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $549.54 | Professional | None | $323.59 | $323.59 | $549.54 |
Sentara Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $10,232.93 | Facility | None | $380.19 | $676.08 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $380.19 Median $575.44 Typical High $7,413.10 | Professional | None | $380.19 | $575.44 | $7,413.10 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
United Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $630.96 | Professional | None | $169.82 | $239.88 | $630.96 |
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 $151.36 Median $151.36 Typical High $190.55 | Professional | 52 · Reduced service | $151.36 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $75.86 | Professional | 53 · Discontinued | $60.26 | $60.26 | $75.86 |
Where Virginia sits
The same service costs 3.8 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· 35th of 51
$380
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.