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 $758.58 Median $758.58 Typical High $891.25 | Facility | None | $758.58 | $758.58 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $891.25 | Professional | None | $602.56 | $758.58 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $3,090.30 | Facility | None | $954.99 | $1,995.26 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $758.58 Typical High $933.25 | Professional | None | $741.31 | $758.58 | $933.25 |
CareFirst Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,584.89 Typical High $2,290.87 | Facility | None | $954.99 | $1,584.89 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $1,548.82 | Professional | None | $1,071.52 | $1,380.38 | $1,548.82 |
Medcost Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,148.15 | Facility | None | $891.25 | $891.25 | $1,148.15 |
Medcost Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
United Setting Professional Modifier None Typical Low $870.96 Median $891.25 Typical High $933.25 | Professional | None | $870.96 | $891.25 | $933.25 |
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 $302.00 Median $380.19 Typical High $436.52 | Professional | 52 · Reduced service | $302.00 | $380.19 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $151.36 Typical High $177.83 | Professional | 53 · Discontinued | $120.23 | $151.36 | $177.83 |
Where Virginia sits
The same service costs 6.2 times more in Hawaii than in Kansas. 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· 39th of 51
$891
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.