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 $275.42 Typical High $616.60 | Facility | None | $194.98 | $275.42 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $208.93 Typical High $269.15 | Professional | None | $194.98 | $208.93 | $269.15 |
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 $275.42 | Professional | None | $190.55 | $208.93 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $512.86 Typical High $891.25 | Facility | None | $269.15 | $512.86 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $446.68 | Professional | None | $134.90 | $177.83 | $446.68 |
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 $380.19 Median $380.19 Typical High $467.74 | Facility | None | $380.19 | $380.19 | $467.74 |
Medcost Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $288.40 | Professional | None | $169.82 | $169.82 | $288.40 |
Sentara Setting Facility Modifier None Typical Low $199.53 Median $346.74 Typical High $10,232.93 | Facility | None | $199.53 | $346.74 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $234.42 Median $309.03 Typical High $1,148.15 | Professional | None | $234.42 | $309.03 | $1,148.15 |
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 4.5 times more in Alaska than in Georgia. 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
$209
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.