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 $707.95 Median $812.83 Typical High $1,023.29 | Facility | None | $707.95 | $812.83 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $812.83 Typical High $812.83 | Professional | None | $707.95 | $812.83 | $812.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $812.83 | Professional | None | $616.60 | $724.44 | $812.83 |
CareFirst Setting Professional Modifier None Typical Low $776.25 Median $870.96 Typical High $912.01 | Professional | None | $776.25 | $870.96 | $912.01 |
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 $707.95 Median $776.25 Typical High $1,318.26 | Professional | None | $707.95 | $776.25 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,174.90 | Professional | None | $794.33 | $933.25 | $1,174.90 |
Medcost Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $549.54 Typical High $812.83 | Professional | None | $363.08 | $549.54 | $812.83 |
Sentara Setting Facility Modifier None Typical Low $707.95 Median $1,071.52 Typical High $10,232.93 | Facility | None | $707.95 | $1,071.52 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,698.24 | Professional | None | $776.25 | $1,023.29 | $1,698.24 |
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 $323.59 Median $630.96 Typical High $1,288.25 | Professional | None | $323.59 | $630.96 | $1,288.25 |
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 $354.81 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $354.81 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $141.25 | $165.96 | $165.96 |
Where Virginia sits
The same service costs 4.1 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· 36th 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.