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 $239.88 Median $302.00 Typical High $831.76 | Facility | None | $239.88 | $302.00 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $302.00 | Professional | None | $239.88 | $295.12 | $302.00 |
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 $158.49 Median $194.98 Typical High $245.47 | Professional | None | $158.49 | $194.98 | $245.47 |
CareFirst Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $426.58 | Professional | None | $234.42 | $257.04 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $630.96 Typical High $1,122.02 | Facility | None | $331.13 | $630.96 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $263.03 Typical High $478.63 | Professional | None | $177.83 | $263.03 | $478.63 |
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 $169.82 Median $302.00 Typical High $602.56 | Facility | None | $169.82 | $302.00 | $602.56 |
Medcost Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Sentara Setting Facility Modifier None Typical Low $288.40 Median $446.68 Typical High $7,413.10 | Facility | None | $288.40 | $446.68 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $288.40 Median $446.68 Typical High $7,413.10 | Professional | None | $288.40 | $446.68 | $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 $134.90 Median $186.21 Typical High $323.59 | Professional | None | $134.90 | $186.21 | $323.59 |
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 $120.23 Median $147.91 Typical High $151.36 | Professional | 52 · Reduced service | $120.23 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $58.88 Typical High $61.66 | Professional | 53 · Discontinued | $48.98 | $58.88 | $61.66 |
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· 43rd of 51
$257
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.