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 $851.14 Median $1,023.29 Typical High $2,344.23 | Facility | None | $851.14 | $1,023.29 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $851.14 Typical High $1,047.13 | Professional | None | $794.33 | $851.14 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $724.44 Typical High $912.01 | Facility | None | $575.44 | $724.44 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $1,000.00 Typical High $1,819.70 | Professional | None | $602.56 | $1,000.00 | $1,819.70 |
CareFirst Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $354.81 | Professional | None | $316.23 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $2,137.96 Typical High $2,951.21 | Facility | None | $34.67 | $2,137.96 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $776.25 Typical High $1,348.96 | Professional | None | $512.86 | $776.25 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $1,995.26 Typical High $2,089.30 | Professional | None | $1,380.38 | $1,995.26 | $2,089.30 |
Medcost Setting Facility Modifier None Typical Low $812.83 Median $1,096.48 Typical High $3,090.30 | Facility | None | $812.83 | $1,096.48 | $3,090.30 |
Sentara Setting Facility Modifier None Typical Low $891.25 Median $1,380.38 Typical High $10,232.93 | Facility | None | $891.25 | $1,380.38 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $891.25 Median $1,348.96 Typical High $10,232.93 | Professional | None | $891.25 | $1,348.96 | $10,232.93 |
United Setting Facility Modifier None Typical Low $323.59 Median $354.81 Typical High $794.33 | Facility | None | $323.59 | $354.81 | $794.33 |
United Setting Professional Modifier None Typical Low $467.74 Median $616.60 Typical High $1,698.24 | Professional | None | $467.74 | $616.60 | $1,698.24 |
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 $398.11 Median $426.58 Typical High $512.86 | Professional | 52 · Reduced service | $398.11 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $169.82 Typical High $204.17 | Professional | 53 · Discontinued | $158.49 | $169.82 | $204.17 |
Where Virginia sits
The same service costs 43.7 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· 20th of 51
$1,000
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.