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 $97.72 Median $158.49 Typical High $295.12 | Facility | None | $97.72 | $158.49 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $158.49 | Professional | None | $97.72 | $97.72 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $630.96 | Professional | None | $478.63 | $575.44 | $630.96 |
CareFirst Setting Professional Modifier None Typical Low $93.33 Median $104.71 Typical High $117.49 | Professional | None | $93.33 | $104.71 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $371.54 Typical High $407.38 | Facility | None | $363.08 | $371.54 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $165.96 Typical High $323.59 | Professional | None | $154.88 | $165.96 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $295.12 | Professional | None | $199.53 | $234.42 | $295.12 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $190.55 | Professional | None | $117.49 | $117.49 | $190.55 |
Sentara Setting Facility Modifier None Typical Low $93.33 Median $186.21 Typical High $10,232.93 | Facility | None | $93.33 | $186.21 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $288.40 | Professional | None | $100.00 | $141.25 | $288.40 |
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 $69.18 Median $112.20 Typical High $181.97 | Professional | None | $69.18 | $112.20 | $181.97 |
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 $48.98 Median $48.98 Typical High $79.43 | Professional | 52 · Reduced service | $48.98 | $48.98 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $31.62 | Professional | 53 · Discontinued | $19.95 | $19.95 | $31.62 |
Where Virginia sits
The same service costs 5.8 times more in New Hampshire 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· 3rd of 51
$501
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.