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 $309.03 Median $398.11 Typical High $1,071.52 | Facility | None | $309.03 | $398.11 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $478.63 | Professional | None | $309.03 | $331.13 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $2,041.74 | Facility | None | $416.87 | $416.87 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $316.23 | Professional | None | $204.17 | $204.17 | $316.23 |
CareFirst Setting Professional Modifier None Typical Low $302.00 Median $331.13 Typical High $549.54 | Professional | None | $302.00 | $331.13 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $812.83 Typical High $1,445.44 | Facility | None | $426.58 | $812.83 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $741.31 | Professional | None | $251.19 | $323.59 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $588.84 | Professional | None | $398.11 | $457.09 | $588.84 |
Medcost Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $831.76 | Facility | None | $741.31 | $741.31 | $831.76 |
Medcost Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $562.34 | Professional | None | $331.13 | $331.13 | $562.34 |
Sentara Setting Facility Modifier None Typical Low $398.11 Median $602.56 Typical High $10,232.93 | Facility | None | $398.11 | $602.56 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $416.87 Median $549.54 Typical High $1,862.09 | Professional | None | $416.87 | $549.54 | $1,862.09 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
United Setting Professional Modifier None Typical Low $173.78 Median $251.19 Typical High $645.65 | Professional | None | $173.78 | $251.19 | $645.65 |
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 $154.88 Median $154.88 Typical High $194.98 | Professional | 52 · Reduced service | $154.88 | $154.88 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $79.43 | Professional | 53 · Discontinued | $63.10 | $63.10 | $79.43 |
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· 39th of 51
$339
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.