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 $630.96 Median $707.95 Typical High $1,949.84 | Facility | None | $630.96 | $707.95 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $676.08 Typical High $707.95 | Professional | None | $630.96 | $676.08 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $4,073.80 | Facility | None | $831.76 | $831.76 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $575.44 | Professional | None | $338.84 | $338.84 | $575.44 |
CareFirst Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $776.25 | Professional | None | $602.56 | $676.08 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,621.81 Typical High $2,511.89 | Facility | None | $851.14 | $1,621.81 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $616.60 Typical High $1,445.44 | Professional | None | $416.87 | $616.60 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,174.90 | Professional | None | $794.33 | $933.25 | $1,174.90 |
Medcost Setting Facility Modifier None Typical Low $501.19 Median $707.95 Typical High $933.25 | Facility | None | $501.19 | $707.95 | $933.25 |
Medcost Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $588.84 | Professional | None | $263.03 | $263.03 | $588.84 |
Sentara Setting Facility Modifier None Typical Low $602.56 Median $1,096.48 Typical High $10,232.93 | Facility | None | $602.56 | $1,096.48 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $676.08 Median $1,047.13 Typical High $7,413.10 | Professional | None | $676.08 | $1,047.13 | $7,413.10 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None Typical Low $245.47 Median $380.19 Typical High $851.14 | Professional | None | $245.47 | $380.19 | $851.14 |
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 $316.23 Median $338.84 Typical High $354.81 | Professional | 52 · Reduced service | $316.23 | $338.84 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $134.90 Typical High $144.54 | Professional | 53 · Discontinued | $125.89 | $134.90 | $144.54 |
Where Virginia sits
The same service costs 5.4 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· 33rd of 51
$589
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.