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 $234.42 Median $239.88 Typical High $281.84 | Facility | None | $234.42 | $239.88 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $281.84 | Professional | None | $234.42 | $275.42 | $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 $269.15 Typical High $309.03 | Professional | None | $239.88 | $269.15 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $281.84 Typical High $467.74 | Professional | None | $223.87 | $281.84 | $467.74 |
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 $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Medcost Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $426.58 | Facility | None | $416.87 | $416.87 | $426.58 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $316.23 | Professional | None | $194.98 | $194.98 | $316.23 |
Sentara Setting Facility Modifier None Typical Low $190.55 Median $338.84 Typical High $10,232.93 | Facility | None | $190.55 | $338.84 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $257.04 Median $346.74 Typical High $588.84 | Professional | None | $257.04 | $346.74 | $588.84 |
United Setting Professional Modifier None Typical Low $208.93 Median $316.23 Typical High $524.81 | Professional | None | $208.93 | $316.23 | $524.81 |
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 $117.49 Median $138.04 Typical High $141.25 | Professional | 52 · Reduced service | $117.49 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $54.95 Typical High $56.23 | Professional | 53 · Discontinued | $46.77 | $54.95 | $56.23 |
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· 35th of 51
$275
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.