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 $338.84 Median $338.84 Typical High $371.54 | Facility | None | $338.84 | $338.84 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $371.54 | Professional | None | $338.84 | $371.54 | $371.54 |
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 $295.12 Median $501.19 Typical High $912.01 | Professional | None | $295.12 | $501.19 | $912.01 |
CareFirst Setting Professional Modifier None Typical Low $371.54 Median $416.87 Typical High $416.87 | Professional | None | $371.54 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $199.53 Typical High $281.84 | Facility | None | $117.49 | $199.53 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $169.82 Typical High $208.93 | Professional | None | $83.18 | $169.82 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $338.84 Median $371.54 Typical High $524.81 | Facility | None | $338.84 | $371.54 | $524.81 |
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 $323.59 Median $354.81 Typical High $794.33 | Facility | None | $323.59 | $354.81 | $794.33 |
United Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
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 $169.82 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $169.82 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $67.61 | $74.13 | $74.13 |
Where Virginia sits
The same service costs 6.9 times more in New York than in Kentucky. 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· 11th of 51
$417
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.