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 $331.13 Median $416.87 Typical High $1,148.15 | Facility | None | $331.13 | $416.87 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $416.87 | Professional | None | $331.13 | $354.81 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $2,630.27 | Facility | None | $1,318.26 | $1,318.26 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $1,230.27 | Professional | None | $218.78 | $218.78 | $1,230.27 |
CareFirst Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,174.90 | Professional | None | $933.25 | $1,047.13 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $741.31 Typical High $1,318.26 | Facility | None | $446.68 | $741.31 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $363.08 Typical High $1,445.44 | Professional | None | $218.78 | $363.08 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $1,819.70 | Professional | None | $1,230.27 | $1,445.44 | $1,819.70 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $416.87 Typical High $870.96 | Facility | None | $275.42 | $416.87 | $870.96 |
Medcost Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $602.56 | Professional | None | $354.81 | $354.81 | $602.56 |
Sentara Setting Facility Modifier None Typical Low $389.05 Median $741.31 Typical High $10,232.93 | Facility | None | $389.05 | $741.31 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $398.11 Median $691.83 Typical High $4,570.88 | Professional | None | $398.11 | $691.83 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
United Setting Professional Modifier None Typical Low $186.21 Median $263.03 Typical High $851.14 | Professional | None | $186.21 | $263.03 | $851.14 |
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 $165.96 Median $173.78 Typical High $208.93 | Professional | 52 · Reduced service | $165.96 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $70.79 Typical High $83.18 | Professional | 53 · Discontinued | $66.07 | $70.79 | $83.18 |
Where Virginia sits
The same service costs 5.2 times more in North Dakota 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
$380
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.