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 $812.83 Median $1,000.00 Typical High $1,548.82 | Facility | None | $812.83 | $1,000.00 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,000.00 | Professional | None | $812.83 | $1,000.00 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,230.27 | Professional | None | $891.25 | $1,047.13 | $1,230.27 |
CareFirst Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,096.48 | Professional | None | $933.25 | $1,047.13 | $1,096.48 |
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 $831.76 Median $891.25 Typical High $1,548.82 | Professional | None | $831.76 | $891.25 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,348.96 | Professional | None | $912.01 | $1,096.48 | $1,348.96 |
Medcost Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $630.96 Typical High $954.99 | Professional | None | $363.08 | $630.96 | $954.99 |
Sentara Setting Facility Modifier None Typical Low $831.76 Median $1,258.93 Typical High $10,232.93 | Facility | None | $831.76 | $1,258.93 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,949.84 | Professional | None | $933.25 | $1,202.26 | $1,949.84 |
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 $407.38 Median $776.25 Typical High $1,548.82 | Professional | None | $407.38 | $776.25 | $1,548.82 |
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 $407.38 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $407.38 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $165.96 | $199.53 | $199.53 |
Where Virginia sits
The same service costs 2.6 times more in Nebraska than in North Dakota. 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· 28th of 51
$1,023
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.