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 $707.95 Median $794.33 Typical High $2,187.76 | Facility | None | $707.95 | $794.33 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $794.33 | Professional | None | $707.95 | $741.31 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $4,570.88 | Facility | None | $933.25 | $933.25 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $691.83 | Professional | None | $371.54 | $457.09 | $691.83 |
CareFirst Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $851.14 | Professional | None | $676.08 | $741.31 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,548.82 Typical High $2,398.83 | Facility | None | $954.99 | $1,548.82 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $1,584.89 | Professional | None | $467.74 | $691.83 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,023.29 Typical High $1,318.26 | Professional | None | $891.25 | $1,023.29 | $1,318.26 |
Medcost Setting Facility Modifier None Typical Low $562.34 Median $933.25 Typical High $1,258.93 | Facility | None | $562.34 | $933.25 | $1,258.93 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $933.25 | Professional | None | $602.56 | $602.56 | $933.25 |
Sentara Setting Facility Modifier None Typical Low $660.69 Median $1,288.25 Typical High $10,232.93 | Facility | None | $660.69 | $1,288.25 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $741.31 Median $1,230.27 Typical High $10,232.93 | Professional | None | $741.31 | $1,230.27 | $10,232.93 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
United Setting Professional Modifier None Typical Low $389.05 Median $549.54 Typical High $1,258.93 | Professional | None | $389.05 | $549.54 | $1,258.93 |
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 $354.81 Median $371.54 Typical High $398.11 | Professional | 52 · Reduced service | $354.81 | $371.54 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $151.36 Typical High $158.49 | Professional | 53 · Discontinued | $141.25 | $151.36 | $158.49 |
Where Virginia sits
The same service costs 3.7 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· 45th of 51
$676
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.