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 $223.87 Median $363.08 Typical High $363.08 | Facility | None | $223.87 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $363.08 | Professional | None | $104.71 | $120.23 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $776.25 | Facility | None | $154.88 | $154.88 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $93.33 Typical High $114.82 | Professional | None | $31.62 | $93.33 | $114.82 |
CareFirst Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $302.00 Typical High $524.81 | Facility | None | $158.49 | $302.00 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $162.18 | Professional | None | $79.43 | $83.18 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $186.21 Typical High $234.42 | Professional | None | $154.88 | $186.21 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $134.90 Typical High $281.84 | Facility | None | $117.49 | $134.90 | $281.84 |
Medcost Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Sentara Setting Facility Modifier None Typical Low $109.65 Median $169.82 Typical High $7,413.10 | Facility | None | $109.65 | $169.82 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $109.65 Median $169.82 Typical High $7,413.10 | Professional | None | $109.65 | $169.82 | $7,413.10 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
United Setting Professional Modifier None Typical Low $51.29 Median $74.13 Typical High $123.03 | Professional | None | $51.29 | $74.13 | $123.03 |
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 $58.88 Median $66.07 Typical High $69.18 | Professional | 52 · Reduced service | $58.88 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.92 Typical High $28.18 | Professional | 53 · Discontinued | $23.44 | $26.92 | $28.18 |
Where Virginia sits
The same service costs 5.4 times more in Wyoming than in Georgia. 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
$110
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.