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 $436.52 Median $549.54 Typical High $1,513.56 | Facility | None | $436.52 | $549.54 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $467.74 Typical High $549.54 | Professional | None | $436.52 | $467.74 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $2,884.03 | Facility | None | $588.84 | $588.84 | $2,884.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $446.68 | Professional | None | $288.40 | $288.40 | $446.68 |
CareFirst Setting Professional Modifier None Typical Low $416.87 Median $467.74 Typical High $537.03 | Professional | None | $416.87 | $467.74 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $977.24 Typical High $1,479.11 | Facility | None | $602.56 | $977.24 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $1,023.29 | Professional | None | $323.59 | $457.09 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $812.83 | Professional | None | $549.54 | $645.65 | $812.83 |
Medcost Setting Facility Modifier None Typical Low $371.54 Median $549.54 Typical High $1,071.52 | Facility | None | $371.54 | $549.54 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $794.33 | Professional | None | $467.74 | $467.74 | $794.33 |
Sentara Setting Facility Modifier None Typical Low $524.81 Median $794.33 Typical High $7,413.10 | Facility | None | $524.81 | $794.33 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $549.54 Median $794.33 Typical High $1,548.82 | Professional | None | $549.54 | $794.33 | $1,548.82 |
United Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
United Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $933.25 | Professional | None | $245.47 | $354.81 | $933.25 |
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 $218.78 Median $234.42 Typical High $275.42 | Professional | 52 · Reduced service | $218.78 | $234.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $93.33 Typical High $109.65 | Professional | 53 · Discontinued | $87.10 | $93.33 | $109.65 |
Where Virginia sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 45th of 51
$447
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.