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 $218.78 Median $218.78 Typical High $234.42 | Facility | None | $218.78 | $218.78 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $218.78 Typical High $234.42 | Professional | None | $204.17 | $218.78 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $269.15 | Professional | None | $190.55 | $229.09 | $269.15 |
CareFirst Setting Professional Modifier None Typical Low $169.82 Median $186.21 Typical High $223.87 | Professional | None | $169.82 | $186.21 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $199.53 Typical High $269.15 | Professional | None | $181.97 | $199.53 | $269.15 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $169.82 Typical High $194.98 | Professional | None | $162.18 | $169.82 | $194.98 |
Sentara Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $10,232.93 | Facility | None | $162.18 | $263.03 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $199.53 Median $218.78 Typical High $302.00 | Professional | None | $199.53 | $218.78 | $302.00 |
United Setting Professional Modifier None Typical Low $154.88 Median $190.55 Typical High $323.59 | Professional | None | $154.88 | $190.55 | $323.59 |
1 more rate 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 $104.71 Median $109.65 Typical High $114.82 | Professional | 52 · Reduced service | $104.71 | $109.65 | $114.82 |
Where Virginia sits
The same service costs 3.6 times more in Alaska than in New York. 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· 19th of 51
$219
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.