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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $426.58 Typical High $478.63 | Professional | None | $407.38 | $426.58 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $416.87 Typical High $524.81 | Professional | None | $354.81 | $416.87 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $501.19 Typical High $50,118.72 | Facility | None | $100.00 | $501.19 | $50,118.72 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $812.83 | Professional | None | $416.87 | $489.78 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $537.03 Typical High $660.69 | Professional | None | $446.68 | $537.03 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $691.83 | Facility | None | $457.09 | $691.83 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Sentara Setting Facility Modifier None Typical Low $389.05 Median $588.84 Typical High $7,413.10 | Facility | None | $389.05 | $588.84 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $407.38 Median $602.56 Typical High $1,905.46 | Professional | None | $407.38 | $602.56 | $1,905.46 |
United Setting Professional Modifier None Typical Low $389.05 Median $616.60 Typical High $912.01 | Professional | None | $389.05 | $616.60 | $912.01 |
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 $213.80 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $213.80 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $85.11 | $91.20 | $91.20 |
Where Virginia sits
The same service costs 70.8 times more in Alaska than in Kentucky. 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· 42nd of 51
$447
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.