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 $426.58 Median $426.58 Typical High $512.86 | Facility | None | $426.58 | $426.58 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $512.86 Typical High $512.86 | Professional | None | $426.58 | $512.86 | $512.86 |
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 $489.78 Median $537.03 Typical High $616.60 | Professional | None | $489.78 | $537.03 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $371.54 Typical High $776.25 | Facility | None | $363.08 | $371.54 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $812.83 | Professional | None | $436.52 | $478.63 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $676.08 | Professional | None | $457.09 | $537.03 | $676.08 |
Medcost Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Medcost Setting Professional Modifier None Typical Low $190.55 Median $331.13 Typical High $489.78 | Professional | None | $190.55 | $331.13 | $489.78 |
Sentara Setting Facility Modifier None Typical Low $446.68 Median $676.08 Typical High $10,232.93 | Facility | None | $446.68 | $676.08 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $1,023.29 | Professional | None | $478.63 | $630.96 | $1,023.29 |
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 $257.04 Median $436.52 Typical High $794.33 | Professional | None | $257.04 | $436.52 | $794.33 |
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 $213.80 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $213.80 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $85.11 | $102.33 | $102.33 |
Where Virginia sits
The same service costs 4.8 times more in Nebraska than in Arkansas. 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
$537
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.