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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $213.80 Typical High $239.88 | Professional | None | $199.53 | $213.80 | $239.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $204.17 Typical High $263.03 | Professional | None | $177.83 | $204.17 | $263.03 |
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 $208.93 Median $245.47 Typical High $407.38 | Professional | None | $208.93 | $245.47 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $331.13 | Professional | None | $223.87 | $269.15 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $338.84 Typical High $346.74 | Facility | None | $229.09 | $338.84 | $346.74 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Sentara Setting Facility Modifier None Typical Low $194.98 Median $302.00 Typical High $7,413.10 | Facility | None | $194.98 | $302.00 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $204.17 Median $302.00 Typical High $954.99 | Professional | None | $204.17 | $302.00 | $954.99 |
United Setting Professional Modifier None Typical Low $194.98 Median $309.03 Typical High $457.09 | Professional | None | $194.98 | $309.03 | $457.09 |
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 $107.15 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $107.15 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $42.66 | $45.71 | $45.71 |
Where Virginia sits
The same service costs 67.6 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
$224
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.