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 $162.18 Median $186.21 Typical High $512.86 | Facility | None | $162.18 | $186.21 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $186.21 Typical High $194.98 | Professional | None | $162.18 | $186.21 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $1,071.52 | Facility | None | $218.78 | $218.78 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $128.82 Typical High $165.96 | Professional | None | $87.10 | $128.82 | $165.96 |
CareFirst Setting Professional Modifier None Typical Low $158.49 Median $173.78 Typical High $218.78 | Professional | None | $158.49 | $173.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $537.03 | Facility | None | $223.87 | $363.08 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $218.78 Typical High $316.23 | Professional | None | $109.65 | $218.78 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $263.03 Typical High $323.59 | Professional | None | $218.78 | $263.03 | $323.59 |
Medcost Setting Facility Modifier None Typical Low $112.20 Median $173.78 Typical High $281.84 | Facility | None | $112.20 | $173.78 | $281.84 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Sentara Setting Facility Modifier None Typical Low $154.88 Median $239.88 Typical High $7,413.10 | Facility | None | $154.88 | $239.88 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $154.88 Median $239.88 Typical High $7,413.10 | Professional | None | $154.88 | $239.88 | $7,413.10 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $218.78 | Professional | None | $91.20 | $114.82 | $218.78 |
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 $81.28 Median $93.33 Typical High $97.72 | Professional | 52 · Reduced service | $81.28 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $37.15 Typical High $38.90 | Professional | 53 · Discontinued | $32.36 | $37.15 | $38.90 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in West Virginia. 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· 35th of 51
$174
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.