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 $245.47 Median $281.84 Typical High $758.58 | Facility | None | $245.47 | $281.84 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $275.42 | Professional | None | $239.88 | $269.15 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $1,584.89 | Facility | None | $323.59 | $323.59 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $141.25 Typical High $239.88 | Professional | None | $131.83 | $141.25 | $239.88 |
CareFirst Setting Professional Modifier None Typical Low $151.36 Median $263.03 Typical High $263.03 | Professional | None | $151.36 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $549.54 Typical High $831.76 | Facility | None | $275.42 | $549.54 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $199.53 Typical High $467.74 | Professional | None | $77.62 | $199.53 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $478.63 | Professional | None | $323.59 | $389.05 | $478.63 |
Medcost Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $354.81 | Facility | None | $162.18 | $263.03 | $354.81 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Sentara Setting Facility Modifier None Typical Low $158.49 Median $331.13 Typical High $7,413.10 | Facility | None | $158.49 | $331.13 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $158.49 Median $331.13 Typical High $7,413.10 | Professional | None | $158.49 | $331.13 | $7,413.10 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $63.10 Median $138.04 Typical High $194.98 | Professional | None | $63.10 | $138.04 | $194.98 |
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 $123.03 Median $138.04 Typical High $144.54 | Professional | 52 · Reduced service | $123.03 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $54.95 Typical High $57.54 | Professional | 53 · Discontinued | $48.98 | $54.95 | $57.54 |
Where Virginia sits
The same service costs 8.9 times more in Alaska than in Alabama. 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· 31st of 51
$229
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.