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 $147.91 Median $213.80 Typical High $363.08 | Facility | None | $147.91 | $213.80 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $213.80 | Professional | None | $147.91 | $147.91 | $213.80 |
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 $141.25 Median $154.88 Typical High $177.83 | Professional | None | $141.25 | $154.88 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $645.65 Typical High $1,348.96 | Facility | None | $616.60 | $645.65 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $234.42 Typical High $436.52 | Professional | None | $213.80 | $234.42 | $436.52 |
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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $363.08 | Professional | None | $158.49 | $158.49 | $363.08 |
Sentara Setting Facility Modifier None Typical Low $138.04 Median $257.04 Typical High $10,232.93 | Facility | None | $138.04 | $257.04 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $416.87 | Professional | None | $151.36 | $208.93 | $416.87 |
United Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $1,737.80 | Facility | None | $707.95 | $776.25 | $1,737.80 |
United Setting Professional Modifier None Typical Low $112.20 Median $194.98 Typical High $302.00 | Professional | None | $112.20 | $194.98 | $302.00 |
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 $74.13 Median $74.13 Typical High $107.15 | Professional | 52 · Reduced service | $74.13 | $74.13 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $42.66 | Professional | 53 · Discontinued | $29.51 | $29.51 | $42.66 |
Where Virginia sits
The same service costs 4.2 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· 4th 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.