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 $478.63 Median $478.63 Typical High $758.58 | Facility | None | $478.63 | $478.63 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $758.58 Typical High $870.96 | Professional | None | $478.63 | $758.58 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $380.19 Typical High $389.05 | Professional | 52 · Reduced service | $239.88 | $380.19 | $389.05 |
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 $512.86 Median $758.58 Typical High $1,047.13 | Professional | None | $512.86 | $758.58 | $1,047.13 |
CareFirst Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $794.33 | Professional | None | $602.56 | $676.08 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $199.53 Typical High $281.84 | Facility | None | $117.49 | $199.53 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $4,073.80 | Professional | None | $3,019.95 | $3,019.95 | $4,073.80 |
Medcost Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
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 |
1 more rate 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 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $173.78 | Professional | 53 · Discontinued | $151.36 | $151.36 | $173.78 |
Where Virginia sits
The same service costs 50.1 times more in Hawaii than in Montana. 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· 25th of 51
$759
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.