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 $257.04 Median $323.59 Typical High $891.25 | Facility | None | $257.04 | $323.59 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $323.59 | Professional | None | $257.04 | $257.04 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $1,698.24 | Facility | None | $346.74 | $346.74 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $309.03 | Professional | None | $169.82 | $208.93 | $309.03 |
CareFirst Setting Professional Modifier None Typical Low $281.84 Median $309.03 Typical High $467.74 | Professional | None | $281.84 | $309.03 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $676.08 Typical High $1,202.26 | Facility | None | $354.81 | $676.08 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $676.08 | Professional | None | $190.55 | $257.04 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $380.19 Typical High $478.63 | Professional | None | $331.13 | $380.19 | $478.63 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $691.83 | Facility | None | $630.96 | $630.96 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $467.74 | Professional | None | $275.42 | $275.42 | $467.74 |
Sentara Setting Facility Modifier None Typical Low $331.13 Median $575.44 Typical High $10,232.93 | Facility | None | $331.13 | $575.44 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $7,413.10 | Professional | None | $331.13 | $501.19 | $7,413.10 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $537.03 | Professional | None | $144.54 | $208.93 | $537.03 |
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 $128.82 Median $128.82 Typical High $162.18 | Professional | 52 · Reduced service | $128.82 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $64.57 | Professional | 53 · Discontinued | $51.29 | $51.29 | $64.57 |
Where Virginia sits
The same service costs 4.6 times more in Texas 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· 39th of 51
$324
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.