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 $933.25 | Facility | None | $302.00 | $562.34 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $363.08 | Professional | None | $302.00 | $302.00 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $1,995.26 | Facility | None | $407.38 | $407.38 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $295.12 | Professional | None | $162.18 | $218.78 | $295.12 |
CareFirst Setting Professional Modifier None Typical Low $288.40 Median $323.59 Typical High $457.09 | Professional | None | $288.40 | $323.59 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $776.25 Typical High $1,202.26 | Facility | None | $407.38 | $776.25 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $691.83 | Professional | None | $169.82 | $245.47 | $691.83 |
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 $407.38 Median $407.38 Typical High $724.44 | Facility | None | $407.38 | $407.38 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $1,380.38 | Professional | None | $263.03 | $302.00 | $1,380.38 |
Sentara Setting Facility Modifier None Typical Low $363.08 Median $588.84 Typical High $10,232.93 | Facility | None | $363.08 | $588.84 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $316.23 Median $512.86 Typical High $10,232.93 | Professional | None | $316.23 | $512.86 | $10,232.93 |
United Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
United Setting Professional Modifier None Typical Low $125.89 Median $194.98 Typical High $436.52 | Professional | None | $125.89 | $194.98 | $436.52 |
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 $169.82 | Professional | 52 · Reduced service | $151.36 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $69.18 | Professional | 53 · Discontinued | $60.26 | $60.26 | $69.18 |
Where Virginia sits
The same service costs 5.2 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· 29th of 51
$347
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.