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 $229.09 Median $234.42 Typical High $275.42 | Facility | None | $229.09 | $234.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $281.84 | Professional | None | $229.09 | $269.15 | $281.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $331.13 | Professional | None | $229.09 | $269.15 | $331.13 |
CareFirst Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $302.00 | Professional | None | $239.88 | $263.03 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $281.84 Typical High $457.09 | Professional | None | $223.87 | $281.84 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $363.08 | Professional | None | $208.93 | $288.40 | $363.08 |
Medcost Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Medcost Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $309.03 | Professional | None | $194.98 | $194.98 | $309.03 |
Sentara Setting Facility Modifier None Typical Low $190.55 Median $331.13 Typical High $10,232.93 | Facility | None | $190.55 | $331.13 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $257.04 Median $338.84 Typical High $588.84 | Professional | None | $257.04 | $338.84 | $588.84 |
United Setting Professional Modifier None Typical Low $204.17 Median $309.03 Typical High $512.86 | Professional | None | $204.17 | $309.03 | $512.86 |
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 $114.82 Median $134.90 Typical High $138.04 | Professional | 52 · Reduced service | $114.82 | $134.90 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $53.70 Typical High $54.95 | Professional | 53 · Discontinued | $46.77 | $53.70 | $54.95 |
Where Virginia sits
The same service costs 2.8 times more in Alaska 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· 36th of 51
$269
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.