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 $954.99 Median $1,096.48 Typical High $3,019.95 | Facility | None | $954.99 | $1,096.48 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,096.48 | Professional | None | $954.99 | $1,023.29 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $6,309.57 | Facility | None | $1,288.25 | $1,288.25 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $630.96 Typical High $954.99 | Professional | None | $512.86 | $630.96 | $954.99 |
CareFirst Setting Professional Modifier None Typical Low $933.25 Median $1,023.29 Typical High $1,174.90 | Professional | None | $933.25 | $1,023.29 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $2,137.96 Typical High $3,235.94 | Facility | None | $1,318.26 | $2,137.96 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $954.99 Typical High $2,187.76 | Professional | None | $630.96 | $954.99 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,230.27 Median $1,412.54 Typical High $1,819.70 | Professional | None | $1,230.27 | $1,412.54 | $1,819.70 |
Medcost Setting Facility Modifier None Typical Low $776.25 Median $1,288.25 Typical High $1,737.80 | Facility | None | $776.25 | $1,288.25 | $1,737.80 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,288.25 | Professional | None | $645.65 | $645.65 | $1,288.25 |
Sentara Setting Facility Modifier None Typical Low $891.25 Median $1,778.28 Typical High $10,232.93 | Facility | None | $891.25 | $1,778.28 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $10,232.93 | Professional | None | $1,023.29 | $1,698.24 | $10,232.93 |
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 $537.03 Median $758.58 Typical High $1,698.24 | Professional | None | $537.03 | $758.58 | $1,698.24 |
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 $478.63 Median $512.86 Typical High $549.54 | Professional | 52 · Reduced service | $478.63 | $512.86 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $204.17 Typical High $218.78 | Professional | 53 · Discontinued | $194.98 | $204.17 | $218.78 |
Where Virginia sits
The same service costs 4.9 times more in Alaska than in Alabama. 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· 43rd of 51
$933
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.