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 $575.44 Median $1,071.52 Typical High $1,778.28 | Facility | None | $575.44 | $1,071.52 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $660.69 | Professional | None | $575.44 | $602.56 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $3,715.35 | Facility | None | $758.58 | $758.58 | $3,715.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $562.34 | Professional | None | $302.00 | $371.54 | $562.34 |
CareFirst Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $691.83 | Professional | None | $549.54 | $602.56 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,318.26 Typical High $2,511.89 | Facility | None | $776.25 | $1,318.26 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $562.34 Typical High $1,288.25 | Professional | None | $371.54 | $562.34 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $1,071.52 | Professional | None | $724.44 | $831.76 | $1,071.52 |
Medcost Setting Facility Modifier None Typical Low $457.09 Median $660.69 Typical High $1,380.38 | Facility | None | $457.09 | $660.69 | $1,380.38 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $489.78 Typical High $645.65 | Professional | None | $81.28 | $489.78 | $645.65 |
Sentara Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $10,232.93 | Facility | None | $549.54 | $1,000.00 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $562.34 Median $954.99 Typical High $7,413.10 | Professional | None | $562.34 | $954.99 | $7,413.10 |
United Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
United Setting Professional Modifier None Typical Low $50.12 Median $331.13 Typical High $457.09 | Professional | None | $50.12 | $331.13 | $457.09 |
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 $281.84 Median $302.00 Typical High $323.59 | Professional | 52 · Reduced service | $281.84 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $120.23 Typical High $128.82 | Professional | 53 · Discontinued | $114.82 | $120.23 | $128.82 |
Where Virginia sits
The same service costs 4.5 times more in Alaska than in West Virginia. 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· 42nd of 51
$550
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.