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 $281.84 Median $281.84 Typical High $309.03 | Facility | None | $281.84 | $281.84 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $295.12 Typical High $309.03 | Professional | None | $281.84 | $295.12 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $309.03 | Facility | None | $190.55 | $245.47 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $398.11 Typical High $741.31 | Professional | None | $239.88 | $398.11 | $741.31 |
CareFirst Setting Professional Modifier None Typical Low $263.03 Median $295.12 Typical High $295.12 | Professional | None | $263.03 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $89.13 Typical High $169.82 | Facility | None | $52.48 | $89.13 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $251.19 Typical High $316.23 | Professional | None | $28.84 | $251.19 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $309.03 Typical High $389.05 | Facility | None | $251.19 | $309.03 | $389.05 |
Sentara Setting Facility Modifier None Typical Low $7,413.10 Median $10,232.93 Typical High $11,481.54 | Facility | None | $7,413.10 | $10,232.93 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $7,413.10 Median $10,232.93 Typical High $11,481.54 | Professional | None | $7,413.10 | $10,232.93 | $11,481.54 |
United Setting Facility Modifier None Typical Low $97.72 Median $109.65 Typical High $239.88 | Facility | None | $97.72 | $109.65 | $239.88 |
United Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
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 $141.25 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $141.25 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $56.23 | $61.66 | $61.66 |
Where Virginia sits
The same service costs 7.4 times more in South Dakota than in Arkansas. 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· 17th of 51
$309
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.