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 $269.15 Median $338.84 Typical High $933.25 | Facility | None | $269.15 | $338.84 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $331.13 Typical High $338.84 | Professional | None | $269.15 | $331.13 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $1,737.80 | Facility | None | $354.81 | $354.81 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $275.42 | Professional | None | $177.83 | $218.78 | $275.42 |
CareFirst Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $467.74 | Professional | None | $257.04 | $288.40 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $691.83 Typical High $1,258.93 | Facility | None | $363.08 | $691.83 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $524.81 | Professional | None | $194.98 | $295.12 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $426.58 Typical High $524.81 | Professional | None | $354.81 | $426.58 | $524.81 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $338.84 Typical High $660.69 | Facility | None | $190.55 | $338.84 | $660.69 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Sentara Setting Facility Modifier None Typical Low $323.59 Median $489.78 Typical High $7,413.10 | Facility | None | $323.59 | $489.78 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $323.59 Median $489.78 Typical High $7,413.10 | Professional | None | $323.59 | $489.78 | $7,413.10 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
United Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $354.81 | Professional | None | $151.36 | $204.17 | $354.81 |
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 $134.90 Median $165.96 Typical High $169.82 | Professional | 52 · Reduced service | $134.90 | $165.96 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $66.07 Typical High $67.61 | Professional | 53 · Discontinued | $53.70 | $66.07 | $67.61 |
Where Virginia sits
The same service costs 5.4 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· 45th of 51
$288
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.