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 $112.20 Median $128.82 Typical High $346.74 | Facility | None | $112.20 | $128.82 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $134.90 | Professional | None | $112.20 | $112.20 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $741.31 | Facility | None | $151.36 | $151.36 | $741.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $81.28 Typical High $109.65 | Professional | None | $60.26 | $81.28 | $109.65 |
CareFirst Setting Professional Modifier None Typical Low $123.03 Median $134.90 Typical High $229.09 | Professional | None | $123.03 | $134.90 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $281.84 Typical High $380.19 | Facility | None | $154.88 | $281.84 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $257.04 | Professional | None | $74.13 | $107.15 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $208.93 | Professional | None | $141.25 | $165.96 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $269.15 | Facility | None | $199.53 | $199.53 | $269.15 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $151.36 Typical High $354.81 | Professional | None | $97.72 | $151.36 | $354.81 |
Sentara Setting Facility Modifier None Typical Low $107.15 Median $218.78 Typical High $10,232.93 | Facility | None | $107.15 | $218.78 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $128.82 Median $213.80 Typical High $10,232.93 | Professional | None | $128.82 | $213.80 | $10,232.93 |
United Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $208.93 | Professional | None | $63.10 | $91.20 | $208.93 |
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 $56.23 Median $56.23 Typical High $64.57 | Professional | 52 · Reduced service | $56.23 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $25.70 | Professional | 53 · Discontinued | $22.39 | $22.39 | $25.70 |
Where Virginia sits
The same service costs 5.4 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· 31st of 51
$132
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.