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 $691.83 Median $776.25 Typical High $2,137.96 | Facility | None | $691.83 | $776.25 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $776.25 | Professional | None | $691.83 | $724.44 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $4,466.84 Typical High $5,623.41 | Facility | None | $3,467.37 | $4,466.84 | $5,623.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $549.54 Median $851.14 Typical High $1,174.90 | Professional | None | $549.54 | $851.14 | $1,174.90 |
CareFirst Setting Professional Modifier None Typical Low $660.69 Median $724.44 Typical High $831.76 | Professional | None | $660.69 | $724.44 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,513.56 Typical High $2,344.23 | Facility | None | $933.25 | $1,513.56 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $676.08 Typical High $1,548.82 | Professional | None | $457.09 | $676.08 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,288.25 | Professional | None | $870.96 | $1,000.00 | $1,288.25 |
Medcost Setting Facility Modifier None Typical Low $457.09 Median $776.25 Typical High $1,230.27 | Facility | None | $457.09 | $776.25 | $1,230.27 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $912.01 | Professional | None | $645.65 | $741.31 | $912.01 |
Sentara Setting Facility Modifier None Typical Low $645.65 Median $1,258.93 Typical High $10,232.93 | Facility | None | $645.65 | $1,258.93 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $724.44 Median $1,202.26 Typical High $10,232.93 | Professional | None | $724.44 | $1,202.26 | $10,232.93 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
United Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $1,230.27 | Professional | None | $380.19 | $537.03 | $1,230.27 |
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 $338.84 Median $363.08 Typical High $389.05 | Professional | 52 · Reduced service | $338.84 | $363.08 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $147.91 Typical High $154.88 | Professional | 53 · Discontinued | $138.04 | $147.91 | $154.88 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in Maine. 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· 32nd of 51
$832
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.