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 $446.68 Median $489.78 Typical High $851.14 | Facility | None | $446.68 | $489.78 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $489.78 Typical High $489.78 | Professional | None | $446.68 | $489.78 | $489.78 |
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 $467.74 Median $512.86 Typical High $588.84 | Professional | None | $467.74 | $512.86 | $588.84 |
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 $446.68 Median $489.78 Typical High $831.76 | Professional | None | $446.68 | $489.78 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $741.31 | Professional | None | $501.19 | $588.84 | $741.31 |
Medcost Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $190.55 Median $346.74 Typical High $524.81 | Professional | None | $190.55 | $346.74 | $524.81 |
Sentara Setting Facility Modifier None Typical Low $426.58 Median $645.65 Typical High $10,232.93 | Facility | None | $426.58 | $645.65 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $1,023.29 | Professional | None | $467.74 | $630.96 | $1,023.29 |
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 $218.78 Median $389.05 Typical High $776.25 | Professional | None | $218.78 | $389.05 | $776.25 |
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 $223.87 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $223.87 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $89.13 | $100.00 | $100.00 |
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
$525
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.