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 $199.53 Median $223.87 Typical High $616.60 | Facility | None | $199.53 | $223.87 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $223.87 | Professional | None | $199.53 | $199.53 | $223.87 |
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 $213.80 Typical High $245.47 | Professional | None | $190.55 | $213.80 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $512.86 Typical High $776.25 | Facility | None | $269.15 | $512.86 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $162.18 Typical High $398.11 | Professional | None | $117.49 | $162.18 | $398.11 |
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 Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Medcost Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $478.63 | Facility | None | $363.08 | $363.08 | $478.63 |
Medcost Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $309.03 | Professional | None | $173.78 | $173.78 | $309.03 |
Sentara Setting Facility Modifier None Typical Low $186.21 Median $338.84 Typical High $10,232.93 | Facility | None | $186.21 | $338.84 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $1,230.27 | Professional | None | $234.42 | $316.23 | $1,230.27 |
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 $147.91 Median $245.47 Typical High $436.52 | Professional | None | $147.91 | $245.47 | $436.52 |
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 $100.00 Median $100.00 Typical High $112.20 | Professional | 52 · Reduced service | $100.00 | $100.00 | $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 3.4 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· 40th of 51
$224
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.