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 $602.56 Median $676.08 Typical High $1,862.09 | Facility | None | $602.56 | $676.08 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $630.96 Typical High $676.08 | Professional | None | $602.56 | $630.96 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $3,890.45 | Facility | None | $794.33 | $794.33 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $501.19 Typical High $691.83 | Professional | None | $467.74 | $501.19 | $691.83 |
CareFirst Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $724.44 | Professional | None | $575.44 | $630.96 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $1,949.84 | Facility | None | $812.83 | $1,318.26 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $588.84 Typical High $1,348.96 | Professional | None | $389.05 | $588.84 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $870.96 Typical High $1,122.02 | Professional | None | $758.58 | $870.96 | $1,122.02 |
Medcost Setting Facility Modifier None Typical Low $398.11 Median $676.08 Typical High $1,071.52 | Facility | None | $398.11 | $676.08 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $794.33 | Professional | None | $199.53 | $199.53 | $794.33 |
Sentara Setting Facility Modifier None Typical Low $562.34 Median $1,096.48 Typical High $10,232.93 | Facility | None | $562.34 | $1,096.48 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $630.96 Median $1,047.13 Typical High $10,232.93 | Professional | None | $630.96 | $1,047.13 | $10,232.93 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
United Setting Professional Modifier None Typical Low $331.13 Median $467.74 Typical High $1,071.52 | Professional | None | $331.13 | $467.74 | $1,071.52 |
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 $295.12 Median $316.23 Typical High $338.84 | Professional | 52 · Reduced service | $295.12 | $316.23 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $125.89 Typical High $134.90 | Professional | 53 · Discontinued | $120.23 | $125.89 | $134.90 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 41st 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.