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 $446.68 Median $512.86 Typical High $1,380.38 | Facility | None | $446.68 | $512.86 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $512.86 | Professional | None | $446.68 | $478.63 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $2,951.21 | Facility | None | $602.56 | $602.56 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $436.52 | Professional | None | $239.88 | $295.12 | $436.52 |
CareFirst Setting Professional Modifier None Typical Low $426.58 Median $478.63 Typical High $549.54 | Professional | None | $426.58 | $478.63 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $1,513.56 | Facility | None | $602.56 | $1,000.00 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $1,023.29 | Professional | None | $295.12 | $446.68 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $831.76 | Professional | None | $562.34 | $660.69 | $831.76 |
Medcost Setting Facility Modifier None Typical Low $354.81 Median $512.86 Typical High $812.83 | Facility | None | $354.81 | $512.86 | $812.83 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $602.56 | Professional | None | $389.05 | $389.05 | $602.56 |
Sentara Setting Facility Modifier None Typical Low $426.58 Median $812.83 Typical High $10,232.93 | Facility | None | $426.58 | $812.83 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $512.86 Median $776.25 Typical High $7,413.10 | Professional | None | $512.86 | $776.25 | $7,413.10 |
United Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
United Setting Professional Modifier None Typical Low $251.19 Median $338.84 Typical High $794.33 | Professional | None | $251.19 | $338.84 | $794.33 |
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 $223.87 Median $239.88 Typical High $257.04 | Professional | 52 · Reduced service | $223.87 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $95.50 Typical High $102.33 | Professional | 53 · Discontinued | $89.13 | $95.50 | $102.33 |
Where Virginia sits
The same service costs 3.8 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· 41st of 51
$427
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.