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 $251.19 Typical High $549.54 | Facility | None | $162.18 | $251.19 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $169.82 Typical High $199.53 | Professional | None | $162.18 | $169.82 | $199.53 |
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 $104.71 Median $104.71 Typical High $162.18 | Professional | None | $104.71 | $104.71 | $162.18 |
CareFirst Setting Professional Modifier None Typical Low $158.49 Median $173.78 Typical High $275.42 | Professional | None | $158.49 | $173.78 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $426.58 Typical High $741.31 | Facility | None | $223.87 | $426.58 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $398.11 | Professional | None | $128.82 | $173.78 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $239.88 Typical High $302.00 | Professional | None | $208.93 | $239.88 | $302.00 |
Medcost Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $426.58 | Facility | None | $398.11 | $398.11 | $426.58 |
Medcost Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $295.12 | Professional | None | $169.82 | $169.82 | $295.12 |
Sentara Setting Facility Modifier None Typical Low $194.98 Median $309.03 Typical High $10,232.93 | Facility | None | $194.98 | $309.03 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $218.78 Median $275.42 Typical High $954.99 | Professional | None | $218.78 | $275.42 | $954.99 |
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 $131.83 Typical High $338.84 | Professional | None | $91.20 | $131.83 | $338.84 |
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 $81.28 Typical High $100.00 | Professional | 52 · Reduced service | $81.28 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $40.74 | Professional | 53 · Discontinued | $32.36 | $32.36 | $40.74 |
Where Virginia sits
The same service costs 3.6 times more in Alaska than in Oklahoma. 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· 37th of 51
$178
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.