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 $199.53 Median $234.42 Typical High $316.23 | Facility | None | $199.53 | $234.42 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $234.42 | Professional | None | $199.53 | $199.53 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $446.68 | Professional | None | $338.84 | $398.11 | $446.68 |
CareFirst Setting Professional Modifier None Typical Low $186.21 Median $208.93 Typical High $234.42 | Professional | None | $186.21 | $208.93 | $234.42 |
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 $239.88 Median $263.03 Typical High $478.63 | Professional | None | $239.88 | $263.03 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $416.87 | Professional | None | $281.84 | $331.13 | $416.87 |
Medcost Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $363.08 | Professional | None | $181.97 | $181.97 | $363.08 |
Sentara Setting Facility Modifier None Typical Low $186.21 Median $288.40 Typical High $10,232.93 | Facility | None | $186.21 | $288.40 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $478.63 | Professional | None | $199.53 | $269.15 | $478.63 |
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 $151.36 Median $257.04 Typical High $389.05 | Professional | None | $151.36 | $257.04 | $389.05 |
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 $100.00 Median $100.00 Typical High $117.49 | Professional | 52 · Reduced service | $100.00 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $46.77 | Professional | 53 · Discontinued | $39.81 | $39.81 | $46.77 |
Where Virginia sits
The same service costs 3.5 times more in Minnesota 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· 26th of 51
$355
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.