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 $512.86 Typical High $660.69 | Facility | None | $194.98 | $512.86 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $245.47 | Professional | None | $194.98 | $194.98 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $1,258.93 | Facility | None | $257.04 | $257.04 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $194.98 | Professional | None | $125.89 | $125.89 | $194.98 |
CareFirst Setting Professional Modifier None Typical Low $186.21 Median $204.17 Typical High $323.59 | Professional | None | $186.21 | $204.17 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $616.60 Typical High $1,023.29 | Facility | None | $263.03 | $616.60 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $208.93 Typical High $501.19 | Professional | None | $154.88 | $208.93 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $281.84 Typical High $380.19 | Professional | None | $245.47 | $281.84 | $380.19 |
Medcost Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Medcost Setting Facility Modifier None Typical Low $512.86 Median $524.81 Typical High $524.81 | Facility | None | $512.86 | $524.81 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $467.74 | Professional | None | $208.93 | $208.93 | $467.74 |
Sentara Setting Facility Modifier None Typical Low $245.47 Median $407.38 Typical High $10,232.93 | Facility | None | $245.47 | $407.38 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $4,570.88 | Professional | None | $257.04 | $363.08 | $4,570.88 |
United Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
United Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $416.87 | Professional | None | $107.15 | $154.88 | $416.87 |
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 $95.50 Median $95.50 Typical High $120.23 | Professional | 52 · Reduced service | $95.50 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $48.98 | Professional | 53 · Discontinued | $38.90 | $38.90 | $48.98 |
Where Virginia sits
The same service costs 3.7 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.