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 $263.03 Median $263.03 Typical High $302.00 | Facility | None | $263.03 | $263.03 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $346.74 | Professional | None | $263.03 | $302.00 | $346.74 |
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 $64.57 Median $107.15 Typical High $208.93 | Professional | None | $64.57 | $107.15 | $208.93 |
CareFirst Setting Professional Modifier None Typical Low $38.02 Median $42.66 Typical High $95.50 | Professional | None | $38.02 | $42.66 | $95.50 |
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 $109.65 Typical High $138.04 | Professional | None | $28.84 | $109.65 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Medcost Setting Facility Modifier None Typical Low $263.03 Median $331.13 Typical High $398.11 | Facility | None | $263.03 | $331.13 | $398.11 |
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 $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
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 $131.83 Median $151.36 Typical High $173.78 | Professional | 52 · Reduced service | $131.83 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $60.26 Typical High $69.18 | Professional | 53 · Discontinued | $52.48 | $60.26 | $69.18 |
Where Virginia sits
The same service costs 25.1 times more in Vermont than in Michigan. 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
$107
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.