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 $165.96 Median $208.93 Typical High $575.44 | Facility | None | $165.96 | $208.93 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $208.93 | Professional | None | $165.96 | $165.96 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $1,071.52 | Facility | None | $218.78 | $218.78 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $131.83 Typical High $181.97 | Professional | None | $107.15 | $131.83 | $181.97 |
CareFirst Setting Professional Modifier None Typical Low $158.49 Median $177.83 Typical High $208.93 | Professional | None | $158.49 | $177.83 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $426.58 Typical High $776.25 | Facility | None | $223.87 | $426.58 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $436.52 | Professional | None | $120.23 | $165.96 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $309.03 | Professional | None | $208.93 | $245.47 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $436.52 | Facility | None | $407.38 | $407.38 | $436.52 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $302.00 | Professional | None | $177.83 | $177.83 | $302.00 |
Sentara Setting Facility Modifier None Typical Low $208.93 Median $371.54 Typical High $10,232.93 | Facility | None | $208.93 | $371.54 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $208.93 Median $316.23 Typical High $7,413.10 | Professional | None | $208.93 | $316.23 | $7,413.10 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $93.33 Median $131.83 Typical High $346.74 | Professional | None | $93.33 | $131.83 | $346.74 |
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 $83.18 Median $83.18 Typical High $104.71 | Professional | 52 · Reduced service | $83.18 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $41.69 | Professional | 53 · Discontinued | $33.11 | $33.11 | $41.69 |
Where Virginia sits
The same service costs 3.1 times more in Alaska than in New Jersey. 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
$200
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.