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 $234.42 Median $245.47 Typical High $398.11 | Facility | None | $234.42 | $245.47 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $245.47 Typical High $245.47 | Professional | None | $229.09 | $245.47 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $446.68 | Professional | None | $331.13 | $398.11 | $446.68 |
CareFirst Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $295.12 | Professional | None | $234.42 | $257.04 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $186.21 Typical High $407.38 | Facility | None | $181.97 | $186.21 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $446.68 | Professional | None | $239.88 | $257.04 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $309.03 Typical High $389.05 | Professional | None | $263.03 | $309.03 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Medcost Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $269.15 | Professional | None | $181.97 | $181.97 | $269.15 |
Sentara Setting Facility Modifier None Typical Low $213.80 Median $346.74 Typical High $10,232.93 | Facility | None | $213.80 | $346.74 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $245.47 Median $323.59 Typical High $549.54 | Professional | None | $245.47 | $323.59 | $549.54 |
United Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $1,000.00 | Facility | None | $407.38 | $446.68 | $1,000.00 |
United Setting Professional Modifier None Typical Low $107.15 Median $190.55 Typical High $389.05 | Professional | None | $107.15 | $190.55 | $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 $117.49 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $117.49 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $46.77 | $48.98 | $48.98 |
Where Virginia sits
The same service costs 2.8 times more in Nebraska than in Florida. 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· 16th of 51
$355
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.