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 $380.19 Median $426.58 Typical High $1,174.90 | Facility | None | $380.19 | $426.58 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $407.38 Typical High $426.58 | Professional | None | $380.19 | $407.38 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $2,454.71 | Facility | None | $501.19 | $501.19 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $245.47 Typical High $371.54 | Professional | None | $199.53 | $245.47 | $371.54 |
CareFirst Setting Professional Modifier None Typical Low $363.08 Median $407.38 Typical High $457.09 | Professional | None | $363.08 | $407.38 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $851.14 Typical High $1,288.25 | Facility | None | $512.86 | $851.14 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $380.19 Typical High $851.14 | Professional | None | $251.19 | $380.19 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $549.54 Typical High $707.95 | Professional | None | $478.63 | $549.54 | $707.95 |
Medcost Setting Facility Modifier None Typical Low $302.00 Median $407.38 Typical High $676.08 | Facility | None | $302.00 | $407.38 | $676.08 |
Medcost Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $501.19 | Professional | None | $331.13 | $331.13 | $501.19 |
Sentara Setting Facility Modifier None Typical Low $354.81 Median $691.83 Typical High $10,232.93 | Facility | None | $354.81 | $691.83 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $407.38 Median $660.69 Typical High $10,232.93 | Professional | None | $407.38 | $660.69 | $10,232.93 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
United Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $676.08 | Professional | None | $213.80 | $295.12 | $676.08 |
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 $190.55 Median $199.53 Typical High $213.80 | Professional | 52 · Reduced service | $190.55 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $75.86 | $81.28 | $85.11 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 44th of 51
$363
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.