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 $128.82 Median $218.78 Typical High $398.11 | Facility | None | $128.82 | $218.78 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $131.83 Typical High $173.78 | Professional | None | $128.82 | $131.83 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $831.76 | Facility | None | $169.82 | $169.82 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $85.11 Typical High $117.49 | Professional | None | $57.54 | $85.11 | $117.49 |
CareFirst Setting Professional Modifier None Typical Low $123.03 Median $134.90 Typical High $158.49 | Professional | None | $123.03 | $134.90 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $323.59 Typical High $501.19 | Facility | None | $173.78 | $323.59 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $102.33 Typical High $288.40 | Professional | None | $72.44 | $102.33 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $186.21 Typical High $239.88 | Professional | None | $162.18 | $186.21 | $239.88 |
Medcost Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $302.00 | Facility | None | $173.78 | $173.78 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $50.12 Median $128.82 Typical High $162.18 | Professional | None | $50.12 | $128.82 | $162.18 |
Sentara Setting Facility Modifier None Typical Low $120.23 Median $234.42 Typical High $10,232.93 | Facility | None | $120.23 | $234.42 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $120.23 Median $213.80 Typical High $7,413.10 | Professional | None | $120.23 | $213.80 | $7,413.10 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
United Setting Professional Modifier None Typical Low $53.70 Median $83.18 Typical High $186.21 | Professional | None | $53.70 | $83.18 | $186.21 |
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 $63.10 Median $63.10 Typical High $72.44 | Professional | 52 · Reduced service | $63.10 | $63.10 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $28.84 | Professional | 53 · Discontinued | $25.70 | $25.70 | $28.84 |
Where Virginia sits
The same service costs 3.5 times more in Alaska than in North Carolina. 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· 38th of 51
$138
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.