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 $131.83 Median $165.96 Typical High $457.09 | Facility | None | $131.83 | $165.96 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $165.96 | Professional | None | $131.83 | $131.83 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $870.96 | Facility | None | $177.83 | $177.83 | $870.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $158.49 | Professional | None | $87.10 | $107.15 | $158.49 |
CareFirst Setting Professional Modifier None Typical Low $144.54 Median $158.49 Typical High $186.21 | Professional | None | $144.54 | $158.49 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $346.74 Typical High $616.60 | Facility | None | $181.97 | $346.74 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $131.83 Typical High $354.81 | Professional | None | $97.72 | $131.83 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $194.98 Typical High $245.47 | Professional | None | $169.82 | $194.98 | $245.47 |
Medcost Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $354.81 | Facility | None | $323.59 | $323.59 | $354.81 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $239.88 Typical High $380.19 | Professional | None | $141.25 | $239.88 | $380.19 |
Sentara Setting Facility Modifier None Typical Low $169.82 Median $302.00 Typical High $10,232.93 | Facility | None | $169.82 | $302.00 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $162.18 Median $263.03 Typical High $10,232.93 | Professional | None | $162.18 | $263.03 | $10,232.93 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
United Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $275.42 | Professional | None | $74.13 | $107.15 | $275.42 |
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 $66.07 Median $66.07 Typical High $83.18 | Professional | 52 · Reduced service | $66.07 | $66.07 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $33.11 | Professional | 53 · Discontinued | $26.30 | $26.30 | $33.11 |
Where Virginia sits
The same service costs 3.4 times more in Alaska 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.