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 $194.98 Median $223.87 Typical High $616.60 | Facility | None | $194.98 | $223.87 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $213.80 Typical High $316.23 | Professional | None | $194.98 | $213.80 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $1,288.25 | Facility | None | $263.03 | $263.03 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $181.97 | Professional | None | $104.71 | $104.71 | $181.97 |
CareFirst Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $245.47 | Professional | None | $190.55 | $208.93 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $457.09 Typical High $645.65 | Facility | None | $269.15 | $457.09 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $426.58 | Professional | None | $128.82 | $165.96 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $251.19 Median $288.40 Typical High $371.54 | Professional | None | $251.19 | $288.40 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Medcost Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $263.03 | Professional | None | $169.82 | $169.82 | $263.03 |
Sentara Setting Facility Modifier None Typical Low $194.98 Median $331.13 Typical High $10,232.93 | Facility | None | $194.98 | $331.13 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $234.42 Median $302.00 Typical High $1,174.90 | Professional | None | $234.42 | $302.00 | $1,174.90 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
United Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $363.08 | Professional | None | $109.65 | $158.49 | $363.08 |
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 $97.72 Median $97.72 Typical High $112.20 | Professional | 52 · Reduced service | $97.72 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $44.67 | Professional | 53 · Discontinued | $39.81 | $39.81 | $44.67 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in Delaware. 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
$200
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.